HomeMy WebLinkAbout0144356-Plumbing (water heater) (....*D CITY OF OSHKOSH No 144356
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1901 GROVE ST Owner GOTTLEIB LLC Create Date 12/13/2010
Contractor KURT ZENTNER & SONS 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 MULTI - FAMILY (APT 1) / REPLACE GAS WATER HEATER "debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1514819601
Valuation � $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By y 1 , ,,r---- Date 12/13/2010
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 2860 OREGON ST OSHKOSH WI 54902 - 7136 Telephone Number 235 -1340
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.
Apr.26. 2010 1 :04PM CITY OF OSHKOSH INSPECTION 0.0738 P. 3
City of Oshkosh F
rnspeotion Services Division REC1
P0113o
� DEC 13 2010►►
Oshkosh, '9VI54903•1130 •
Phone: (920) 236-5050 DEPART MEN # OF err AN
Pax: (920)236.5084 COMMu;ST.TY DES =`: � )Piv X17 1 I.
Plumbing Per App , �, .. .
1 hereby apply fora 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(a) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI '
54903 -1128. Commencing work without perniit(a) will result in fees being doubled or 5100.00 plus the normal permit fee, which
ever b greater.
OR rr
. , 1 ' t , i ! ' 1 1 !I . _ , ' 1 1 ' ! ' I! . . . .1 ■. r 1 - 1-
jf you wpnt fh(s processed (hrQurh your account ► ' 1
•
** Advisory - For applicable projects, an Electri , Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be perforated by the homeowner) mast be submitted
with the permit application. Applications submitted without an UV when such is required, will not be
processed for Penult Issuance and will be returned for completion. ?h65---O,
Job Address i I CIYI Ve � 7 Value (Including labor and materials) ? Date 1/ - 15" ' /t
rl� ,
Owner jV/ /fifl/7) /! an 11 t; Contractor , r ',2 A ,. .0 /_
[Single Family ['Duplex OMult Family 4 Rental ['Commercial ❑lndustrlal
Number of Fixtures:
Bathtub Sump Pump Plater Sink Roof Drab
Shower San. Sump/Pump Scullery Side Soda Dkp
Whirlpool Water Softener Service Sink „�_ Code Mkr
Yi10 Standpipe Rao Stomp Sink Site Drain
ToUot GIN* FD Surgeon: Sink Wachs Stn
Kit Sink Local Waste Stailker be Chat
Disposal Dar Sink RPZ Valve Comm Ice Matter
Dishwasher Brcakim Sink Bidet ___ Iat (;tease Trap
Floor Drain Chum Sink Urinal The crease Trap
Rosa Bibb Exam Sink Boer Tip Bye Weak Stn
' - Heater r F Prep Sink Dipper Wen Deduct Meier
( , (aJeot 0 PwrVnt Ploor Sink . Drink nun
Wu Sower Mfr
Mir Hand Sink , . ' Wash Foto ' WI: Usage Mtr
Lndry.Tray Lab Sink Catch Basin M1scFi twea
Electric Contractor (for projects not requiring an EIV Form) , •
Use / Nature of Work p/ i,e [thi e 7
r
Size Material Type 0 Conn. Type
limitary Sewer
Storm Sewer
Water Service
•
06/09