HomeMy WebLinkAbout0144276-Plumbing (toilet & water heater) CITY OF OSHKOSH No 144276
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 709 OTTER AVE Owner KOKOMO PROPERTIES LLC Create Date 11/24/2010
Contractor C SWEETING PLUMBING LLC 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 1 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 LATE PERMIT WORK STARTED BY UNKNOWN PERSONS/ Install new electric water heater and water closet in
of Work men's restroom. EIV signed by JP Electric. **debit acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0801950000
Valuation $ 0. 7000.0 0 0 Plan Approval $0.00 Permit Fees $25.00 I] Permit Voided
Issued By Gj/ Date 12/03/2010
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 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 - 9316 Telephone Number 920 - 410 -4017
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.
City o S ( Inspection ecot� ion Servirvi ces Divlslao
PO Box Il30
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 ��/
Fax: (920) 236-5084 Q/ ( f K
' ON THE W
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing an the premises hereinafbsr deserted, the work to conk= to the
Wisconsin State Plumbing Code, in the pie of which all parties hereto agree to and are bored by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or coaled to Inspection Services, PO Box 1128, Oshk eek WI
54903- 1128. Commencing work without permit(s) will result in fees being doubled or 8100.00 plus the normal permit' fee, which
ever is greater.
OR
If you are a contractor participating in the Permit F e Account System and have adequate fonds. check here
if you want this processed through vour_account i
** Advisory - For applicable per, an Ekancal Installation Vaillation MIV) gym, signed by the Electrical •
Contractor or Homeowner (for installations allowed to be perfinmallay the homeowner) must be ssbmdttcd
with the permit application. Aprons submitted without an EN when such is required, will not be
processed £ter Past Issuance and will be retuned for completion. d r
t ci
Job Address 70 % D. 77""/" S � Value ( labor andmetaids) "' v Date 1 / - , - /0
Owner Contractor _ C -S' e t-,' i / /4.- G L c
Ogingk Family ODuPlez DMnhi-Fandly 011ental LICommereia1 Dindusnial
Number of Pixtttres:
WO* Sump Pomp Phyla Sint RooaPDtde
Shower Sao. SwaplPump Soalkry Sink Soda Dila
Whidpoot Water Miter Saviae Sink Cabe Mtr
Lavatory ____ — __ _ Sias Drag
Toner _L._ Gara FD Satgooas Siet Waihs sin
KkSiat Local Waste Saeeinaer IieeChest
Mapped Bar Sidle RPZ Valve Carman Mmes"
Dishwasher Bream Sink Bidet hatGnaw Trap
Hoar Drain Chasm Sink Mimi B:t Grease Trap
Ilan Bob Foam Sint Beer Tap Byre Wash Sin
Wager / F �p Siok Dipper Well Deduct Meier
Otias /[7PwrYat Plow Sink Ddek Pate WhrSewrrMtr
Clow Weir Had Sink Wash Fain Wtr Usage MIr
bully Troy Lab Side Cita Brain Wpm Flumes
iectrie Contractor (for projects not requiring an UV Form) -----
- ise / Nature of Work 0/1.e_ �
Wet/ e-
. Sine Material Type # Cann. Type
Sanitary Sewer
Stamm Sewer
Water Service
06/09
11/24/2010 15:48 9202306865 PAGE 01/01
My of Oshkosh
• DMA= of hosed= Swiss •
21s alma Moue
Po Box 1139
oaliur a vn 5491134139
• 7 4 1 4 :
Electric Installation Verification
1(We) •3 I ' a (G i t C
(Electrical • 1 • r.a Name or Homeowner's Name) -
. _ 0 • •,„ _ 40i 4. 0.
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
0 LL-r. r r
(Address where work will be performed) -
The nature of the work consists of: (Check One or Describe the Nature of Work)
Ration or new circuit for replacement Heating Plant and/or A/C Condenser.
-, Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service fiance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation_ Note: New Service -
Eaxaance 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, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi building would require a licensed Electrical
Contractor. .
Other - . .
The value of this work is $ Ct 777® .
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of tie Oshkosh Municipal code and further verify the reconnection. / installation
will be dons in compl avoe with manufacturer and. Electric code requirements.
• Iii._____________ Ci llvt V.. /IA / AY /a
i ` of Camino 09ycer or Houoeeaner) (Print Name) (Date)
Osn
Received .Time Nov, 24. 2010 2:46PM No, 3863