HomeMy WebLinkAbout0143897-Plumbing (water heater) 'C CITY OF OSHKOSH No 143897
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1306 OSHKOSH AVE Owner CARRIAGE HOUSE INVESTMENTS LLC Create Date 11/01/2010
Contractor J RASMUSSEN PLUMBING INC Category 446 - Commercial -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 Reichenberger Meats (1302) / Replace electric water heater. EIV signed by Drexler Electric. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1600420000
Valuation $750.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By (4yyt.c7—) Date 11/01/2010
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289
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.
10/31/2010 15:55 9202311289 J RASMUSSEN PAGE 01/02
City of Oshkosh
Inspection Services Ulvlslon .
FOBox1130 (�
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -SOa4 .
-� ON THE WATEP
Plumbing Permit Application
1 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.
• Applieation(s) and fee(s) can be brought to City Hall, Rootn 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903 -1128. Corntnencing work without permit(s) will result in fees being doubled or $100110 phis the normal permit fee, which
ever is greater.
OR
,,t , r , • , , r , lc •, i,.° .e . ' e . _ • e •d ,,. - -s c.r -_ /tar-
i ,. ,ad rh'. r • ,. eel r, • , r ac •,_t C
" Advtisoiy - For applicable projects, an Electrical Installation Verification (ENV) form, signed by the Electrical
Contractor or Homeowner (for ids allowed to be performed by the homeowner) mast be submitted
with the permit application. Applications submitted without au HIV when such is required, will not be
processed for Permit Issuance ani will be returned for completion.
Job Address 13 0 a- 0 91 ILbi k ithq Value (Including labor and materlad�r) 7 56 o+ pate �J -20 -10
Owner R ", ��.� °�/-r' c o iractd>fl � t (� 0. S ►K k 1 S .e N P I c r
DSingle Family DAnplez ulti- Family DReotal taCommercial Duda: atrial
Number of Fixtures:
Bathh& Sump Pump Plata Sink Roof Drain
Shoarcr _,,,,,,_,,,,, San Sump/Pump Scullery Sink _ ^, d 1 p --
Whirlpool Water Softener _._.,,. Service Sink Coffee Mlt
Lavatory Standpipe Rae _ Shrunp S ink Site Desire
Toilet denlfte 1� -- 3wgeena Sink Wears Sin
Kit Sink t.o�al Waste _,_ Sterili TCe Cheat ,—'—
Dinpo►t _ Bar Sink _ RPZ Valve Comm ice Maker
Diaiseinher Breekrm Sink - Bidet U+t Gramm _
Floor Mtn _ " Oman Sink w Urinal !n Grease Trap
Nape Bibb z'Starr, sink _ pea tip ,_.____ Eye Wtra, Ste ____,
Water Rater —1— F Prep Sink _.__ Dipper Well Deduct Meter _ __,_
D Cram tAlect D FwrVnt Floor Shtk Drink xahto Wtr Sewer MP
Clothe! Wshr _ . Hand SING Wash Fen We Usage Me
Wry Tn,y _ Lab Sink Catch Beam Mlle Fianna
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work Lai . t C. c.c., ii, At=e- G3 f -
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
06/09
Received Time Oct. 31. 2010 4:35PM No. 3509
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10/31/2010 15:55 9202311289 J RASMUSSEN PAGE 02/02
City of Oshkosh
!Division C of Inspection Service!: lCt. ^.
21
115 Church rch nvertu vcnuc
PO Them 1130
O f O JH
Oshkosh 54903-113D
Office 920- 0 - 236 -SOSO
Q�+ WAIFC Fax 920- 236 -5o94
Electric Installation Verification
I(We) D(LCXL -CrC Etc:C. i 21 .
(Electrical Contractor Name)
& lco C Oo FF Pic« &rr ' s t/
(Address) (City) (State) Cod )
have been contracted to perform electric installation work for (l (f '
(Name of party contracted to)
at the following address: / 3 0 05e+'K.5 $44-
(Address where work will be performed)
•
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
`i 1 Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation_ Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ • lobe- -
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
17//../ 0 -()A
(Signature t. f Company Officer) (Print Name of Officer.) (Date)
Received Time Oct, 31, 2010 4:35PM No. 3509 5/02
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