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Home My WebLink About0143509-Plumbing CITY OF OSHKOSH No 143509 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 15 LAKE ST Owner BEACON POINT 15 LLC Create Date 10/07/2010 Contractor KOCH PLUMBING Category 412 - Res - Interior (New /Relocated Fixtures) Plan Bathtub 1 Clothes Wshr 1 Classrm Sink Surgeo s Sink Roof Drain Deduct Meters Shower 1 Lndry Tray Exam Sink Sterilize Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Val e Coffee Maker Wtr Usage Mtrs Lavatory 1 San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet 1 Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec 1 Lab Sink Beer Ta Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher 1 Local Waste Sculry Sink Drink Ft Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ft Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch B sin Eye Wash Statn Water Heater Use /Nature SFR / Remodel *add 2nd floor bath, replace bath valve and install dish asher. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0803670000 Valuation $6,000.00 Plan Approval $0.00 Permit Fees $49.00 ❑ Permit Voided Issued By Date 10/07/2010 In the performance of this work, I agree to perform all work pursuant to rules gove ning the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of w ich it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges th= permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such a tivity. Signature Date Agent/Owner Address 2005 DOTY ST OSHKOSH WI 5 902 - 7040 Telephone Number 920 - 231 -6661 or 235 To schedule inspections please call the Inspection Request line at •36 -5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if - ecure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is eady at the time the request is received. Work may continue if the inspection is not performed within two business day from the time the project is ready. --. Oi a.. . -- - Inspection Services Division + PO Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 / Fax: (920) 236 -5084 — OW MC • Plumbing Permit Application " 1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the oat to conform to the Wisconsin State Plumbing Code, in the ice of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City lam, Room 205 or marled to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without p s) will result in fees being doubled or 5100.00 phi the normal permit fee, which ever is greater. OR If you are a contractor particioatine in the Perm: Wee Account System and have adeauate funds. check here if you want this processed through your account " Advisory - For applicable projects, an Electrical Installation Verif (HIV) foam, signed by the Blect:icai Contractor or Homeowner (far installadons allowed to be performed by the homeowner) must be wed with the permit application. Applications submitted without an EIV when such is processed for Permit Issuance and will be returned for ooh, will not be Job Address /S 64/c22 Sr Value (m andm.terde) 000 121 Date /0- 7 -/0 Ow 7 if e / / /i7, �C Contractor t ",fl Pe ODupiex DMalti -Famiy ['Commercial ['Industrial Number of Fixtures: Bathtub / Pump _ Plaster Side _ Shower ' / s� Sink � Drain Whirlpool water Softener service side Lavatory ___Z___ Cae6ea Mtr Standpipe Rae _L_. Shoop Sink _ Toilet _L_ site Drain Kit sick Load Waste sfak wails Sin Sterilizer w Ice Chas Bar Sink RPZ Valve `- Dishwasher T Bnerium Sink Canal lea Maker Bidet Floor Drain Charm Sink — he Grease Trap Hoare BM Bunts Grease Trap Bccr Tap bye wadi stn Water Heater F Prep Sink Dipper Well _ Deduct Meter — CI Gas 0 Elect D PwrVnt Floor Sink Clothes Water / Hand Sink D Fam sewerMtr Wash Fain Mod Laairy Tray tau sink Catch >a • Fianna Chic Contractor (for projects not requiring an ETV Form) / Nature of Work 4.4e 2 &O ,,C- its` % 4; ,q2 ` - ' sit e . _ Size Material Type # Conn. Type Sanitary Sewer /4/s7s��. /,, ' Storm Sewer Water Service E1 This installation is complete and may be inspected at any time. `.W X i -- 7-114)