HomeMy WebLinkAbout0143775-Plumbing (laterals) (a CITY OF OSHKOSH No 143775
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1516 MENOMINEE DR Owner MICHAEL J /MARY R MCGINLEY Create Date 10/22/2010
Contractor KOCH PLUMBING Category 401 - Residential - Exterior (laterals) 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 2 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
Use /Nature Install storm lateral for sump connection and new yard drain.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer 4'/6" Plastic Lateral 1 New
Water Service
Parcel Id #
1513070000
Valuation $4,500.00 Plan Approval $0.00 Permit Fees $64.00 ❑ Permit Voided
Issued By Date 10/22/2010
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 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 - 231 -6661 or 235
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. 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.
.t 21 10 04:32p
Inspection Clarence Koch (920) 235 -0282 p.l
an services Division 4. •
P 0 Box 11
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
(44
Fax (920) 236 -5084
-
Plumbing Permit Application °" We
1 hereby apply for a permit to do and install the following plumbing on the premises mar
Wisconsin State Plumbing Code, in the pace o f all parties hereto described, the work a to tatute to the
agree to and me 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 perms) will resuk is fees being doubled or SI00.00 plus the normal permit fee, wbicb
ever is greater.
OR
u a a o t• , `.. t • ' ' ` " , ` ' e ee Account System and have adequate funds. check here
"Advisory - For applicable projects, an Electrical lion Vexificatioai aair) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be pew by the err
with the permit application. Applications submitted an BIV when such is ) must be Witted
processed for Permit Issuance and will be for completion. will not be
Job Address /'5 /; iWZ4 A ".4? : - :value (tocmaing ,ndmonists) /5-44767 .2-1-'° Date
Date
Owner /14/ /4am c && ,./6<=r1-. 7 Contractor �dc/ .7 �
LSingle Family °Duplex IJMaiti- Family /j fa
❑Co mmercial °Iiadostriei
Number of Fixtures:
Bib Z
Shower Sea S Plaster Sufic RoofDrain
Scullery Sink _
Water Samar Service Sink Co tibe Mir
Lam FD Roc �P Sink Site Drain
let Sink Local Waste Sink Walla Sin
Sterilizer
Ice Chest
Dis Bar Sure RPZ valve
Dishwasher Bleak= sb Comm Ice Mtica
Floor Drain Class= sink Bidet race Grove Trap
venal
Hose Babb F� Sink Beer Tap Grease Trap —`..
Water Header F Pup Side � Eve Wash Std
0 ties a ter o Pwrvac Dipper Wail �_ Deduct
Floor slur Drink Foy
C wshr Band s6alc War sea�erMtr
washFotn
Lodry Tray Lab Sink Catch Basin IvfiS Mtr
vCac Fixtures
uric Contractor (for projects not requiring an EIV Form)
( Nature of Work 13ti ii' S 70/2- . / 4e4, ;; Ac/ K/X4,d 4, - r ✓
Size Material Type d
Sanitary Sewer - Cram. Type
Storm Sower " £ 4 " P 1/ C
Water Service
El This installation is complete and may be inspected at any time.
Received Time Oct. 21. 2010 4:39PM No. 3394