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Home My WebLink About0145235-Plumbing CITY OF OSHKOSH No 145235 . @ OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1239 BAY SHORE DR Owner GERALD J /DIONE M GUNTHER Create Date 03/22/2011 Contractor SBS PLUMBING LLC Category 410 - Residential- Interior Plan Bathtub 1 Clothes Wshr 1 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 2 San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet 2 Water Softner Hand Sink Urinal 1 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 1 Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink 1 Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use /Nature SFR / Basement remodel. A water calculation worksheet is required to be submitted prior to rough inspeciton request. of Work * *debit acct Size Material Type # Conn. Type z i , Sanitary Sewer I . II Storm Sewer ; ' Water Service { Parcel Id # 0803930000 Valuation $4,300 0 Plan Approval $0.00 Permit Fees $70.00 ❑ Permit Voided Issued By Date 03/23/2011 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 4635 RED FOX RD OSHKOSH WI 54904 - 7784 Telephone Number 920 -410 -5933 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. 1 City of Oshkosh Inspection Services Division PO Box I130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 al T _HKO {E.__i i UN T-F WA -FP 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 y ou are a contractor participating in the Permit Fee Account System and have adequate funds. check here if you want this processed through your account K ** 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. Job Address J) 3 5 a ysIk x 'D R' Value (Including labor and materials) � / / " Date 1/ Owner R'' CtAiina. Contractor 573 44s/if-• 21Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub i Sump Pump Plaster Sink Roof Drain Shower San. Sump/Pump Scullery Sink Soda Disp Whirlpool t.pi Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec _i_ Shamp Sink Site Drain Toile Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink / RPZ Valve Comm Ice Maker Dishwasher � Breaknn Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter J Gas U Elect U PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr / Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc. Fixtures p Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work 614.42c - Size Material Type # Conn. Type i Sanitary Sewer Storm Sewer Water Service RE CE 1 VED .1 MAR22 ZUU DEPARTMENT OF 14 COMMUNITY DEVELOPMENT 06/09 1 ! INSPECTION SERVICES DIVISION