HomeMy WebLinkAbout0145111-Plumbing (city rehab) ((■?D CITY OF OSHKOSH No 145111
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 743 MOUNT VERNON ST Owner ROBERT /SARAH GUTJAHR Create Date 11/30/2010
Contractor WATTERS PLUMBING Category 412 - Res - Interior (New /Relocated Fixtures) Plan
Bathtub Clothes Wshr 1 Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray 1 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 1 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 SFR / City rehab / Install laundry hook -up /sink in upper level, connect gas line for dryer, and replace rotted stack below
of Work concrete in bsmt with PVC and cleanout.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1000870000
Valuation $2,100.00 Plan Approval $0.00 Permit Fees $25.00 El Permit Voided
Issued By
" :1—} Date 03/10/2011
In the performanc 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 PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number 920 - 733 -8125
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.
/09/2011 WED 17:29 FAX 920 733 2713 Watters Plumbing --.-. OSHKOSH PLB INSPECTION 0001 /001
City of Oshkosh
Inspection Services Division !�\
POBox1130 h4 o
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 1 bt e d' c. X . t -t S C"" r'^'
Fax: (920) 236 -5084 , � /S r OIHKOlH
ON THE WATER
Plumbing Permit Application
I 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.
• 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(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
If you are a contractor participatin,P in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ri
** 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 EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
7 I}
Job Address � �' V t/i4 i. Value (Including labor and materials) 0/00 / Date y— Cl ���
Owner Contractor (,i3o tu-s ?I.., 4,
ingle Family ❑Duplex ❑Multi - Family DRental C ommer 'al
❑ ❑Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San. Sump /Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
'roilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste
Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet _ Int Grease Trap
Floor Drain Classrm Sink Urinal Eat Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater F Prep Sink Dipper Well Deduct Meter
0 Gas 0 Elect O PWrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr / Hand Sink _ Wash Fran Wtr Usage Mtr
Lndry Tray / Lab Sink Catch Basin Mist Fixtures
EIectric Contractor (for pro'ects not requiring an EIV Form)
Use / Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
06/09
Received Time Mar. 9. 2011 4:21PM No.4911