The URL can be used to link to this page

Home My WebLink About0143674-Plumbing (water heater) la;l1 CITY OF OSHKOSH No 143674 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1509 OHIO ST Owner ANDREW H BOSMA/LISA A DORN Create Date 10/18/2010 Contractor GARTMAN MECHANICAL SERVICES Category 411 - Residential -Water Heaters Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use /Nature SFR / Replace power vent water heater. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1304420000 Valuation /� $11, 460.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By a-491/.L2 Date 10/18/2010 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 520 W SOUTH PARK AVE OSHKOSH WI 54902 - 6470 Telephone Number 920 - 231 -5530 To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Oct. 18. 2010 7: 49AM GMS INC No. 5011 P. 2 CAS 0� City of Oshkosh Inspection Services Division P O Box 1130 C 4i. Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 W 0 Ono Tug ww7¢B Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes, • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fcc, which ever is greater. OR if you are d contractor • • ici . atin . in / • Perini Fee A A. _ • .nt S stem and have ade• ate unds check here Lfyou want this e ssed through vour account ?' ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address 1 SO q 0 4tca S . Value (Including labor and materials) / 9CDO ' Date / op Alt o Owner Lt Oak. —r--. Contractor 6-wrS, !•.c . _ IgSingle Family ❑Duplex ❑Multi -Family ❑Rental ❑Commercial ['Industrial Number of Fixtures: Bathtub Disposal Drink FM Catch Basin Whirlpool Dishwasher Waft. St. Wash Fin Lavatory Sump Pump Ice Ch Urinal Tomes Ejector/Grind Exam Sink Gar Drain Res. Sink Water Sofiner Santry Sink Soda Dip Bar Sink Local Waste Hand Sink Coffee Maker Water Heater 1 Clothes Wshr F Prep Sink Comm Ice Maker 0 Gas 0 Elect Ca-PrvrVnt Bidet • ecru sink Site Dram Shower Beer Tap trtt Grease Trap Roof Drain Floor Drain C, Sink Ext Grease S�aodp Rea Lathy Tray Surgeons Sink rC R.P.Z. valve Eye Wash Stu Lab Sink Brealam Sisk Fleeces Sink SIramp Sink WIT Sewer Mrs Plaster S Dip Well M1ri Wsc Silt Deduct Meters Sterilizer - - ° -- - - -- - ... Mist. _....... -. Fixtures Electric Contractor (for projects not requiring an EIV Form) SNP-1 S / l e c. - 245:C1 U se / Nature of Work ___§ lc-t ,,., 1,,,- t.- 4-1-„ -_- --- . Size Material Type 4 Conn. Type Sanitary Sewer Storm Scwcr Water Service 07 /07 Received Time Oct. 18. 2010 7:48AM No. 3301