HomeMy WebLinkAbout0144355-Plumbing (water heater) CITY OF OSHKOSH No 144355
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1229 WHEATFIELD WAY Owner JEFFREY J MARTINEZ Create Date 12/13/2010
Contractor KURT ZENTNER & SONS INC 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 FIr/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 GAS WATER HEATER * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1340160000
Valuation $650.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued ByThi 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 No. 0738 P. 3
City of Oshkosh it
Ynspeetion Services Division RECatI/LJ
P 0 Box 1130
Oshkosh, W154903.1130 • DEC 13 2010
Phone: (920)236.5050 •
Fax (920) 236-50134 ((�('1�nR n ���DFA'r�PJFI� - rb�;" ( Alp r is ir
Plumbing Pe�Ap i r` ;, `'' °'°
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confonn 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() will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR _
•
** 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 EN when such is required, will not be
processed for Permit Issuance and will be returned for completion. •
Job Address es Id 6 4alue (Including labor and materials) Abraeo Date /1-17- / 0
owner a. - V-Ei It 7_, a Contractor k.0 it eAU - rui2 4 cSon
i gle Family ODuplex OMultiFamily DRental []Commercial
[Industrial
Number of Fixtures:
Bathtub Sump Pomp Plaster Sink Roof Drain
Shwa San. Sump/Pump Div Side ------ Soda Di T^
Whirlpool Water Sallow Service Sink Cabe lakr
Lavatory Standpipe Reo Shwnp SWt ` — Site D
Toilet �e FD • Surgeons Sink Waits Sin
ICit Sink Local Westo SteriHmer Ice Cheat
Disposal Bar Sink RPZ Valve Comm lee Matter
Dishwasher Breakrm Sink , :. Bidet lot Grease Trap
,
Floor Drain Mason Slide Urinal Bxt Grease Trap
Hose Bibb Exam Sink Doer r Tap
Byo Wash Stti
VIA Heater F Prep Sink Dipper Well
L] Eleett7 rat Deduct Mater
Floor Sink Drink Fats Wtr Sourer Mtr
Clothes Wshr Hand Sink
Lndry Tray Wash Fnht • WlrUsaSeMtr
Lab Sink Catch Basin __ Miss Fixtures
Electric Contractor (for projects not requiring an EW Form) •
Use / Nature of Work api a ,, ho-I Q .e. /Len The_
e
Size Material TYPe # Conn. Type •
Sanitary Sewer
Storm Sewer
Water Service
•
06/09