HomeMy WebLinkAbout0145228-Plumbing (lav & toilet) CITY OF OSHKOSH No 145228
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1745 BRENTWOOD DR Owner JASON D ALGRA Create Date 03/23/2011
Contractor J RASMUSSEN PLUMBING INC Category 413 - Res - Interior (Replacement Fixtures) 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 1 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
Use /Nature SFR / Replace lav and toilet in main bathroom. *'tdebit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1318210000
Valuation $400.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By G 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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289
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.
li 03/23/2011 06:27 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
Inspection Services DtviS10I
P0 Box 1130 .
Oshkosh, WE 54903 -1130
Pon / c: (920) 236-5050 (t7��/ 11Il�.'
1'a'X; (920) 236 -5084 ON THE 1n'ATFR
Plumbing Permit Application
1 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 pies hereto are to and arc bound by said statutes.
• Application(s) and fce(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wl
54903 -1128- enmmencing work without perrnit(s) will result in foes being doubled or 5100.00 plus the normal permit fee, which
ever is Er/cater.
OR
1 gi a r k a cgrarg to r • r t ' c ' , I - i . he ' real :4. . cc c t .Ti m : . • s ve ac,.qugrle _ U l u .
.iLyoa want ,lltis nroc_ lhrouPlt coo, 7 IM
. A Advisory - For applicable projects, an Electrical. Installation Verification (Eft
form, signed by the E1ccrical
Contractor or Homeowner (for installations allowed to be pecfanrnedby the homeowner) must be submitted
with the permit applicati n s bntitt for won. when such is required, will not be
processed for Permit Issuance will `0, — 2 f
9 g44A,,tW to() Value (Including labor and materiels) y o ° ., Date
Job Addireas P i y -�
Owner A . rg Contractor — _e R. 0. S ii... >^ s . R qq ,
�S6rlgle family ['Duplex D Multi- Family []Rental [['Commercial [Industrial
Number of .Mixtures: ' •
Piaster Sink Roof Dania ..— .-
Bathtub Sump Pump �- —. - Soda Disp -
Shower _, _ Swe.Sump/Pump _ ., -_ Scullery —^^
Whirlpool _ -__ _- Weter Softener Service Sink Coffee Mkr —
P __-- Sitc Drain Loewy _• ! Standpipe. Rae Slump Sink
SllrgennsSh -. WRttr Stn
Toilet .! &wage FD - �_^-
Strjib7.er 1cc Cheat - .
Kit Sink Local Waste _�. _ Sink R V Comm Ice Maker
i)ixpoaril _- Bar Sink 'T -- - .
Dishwasher - Rrcaktm S -
Bidet - Int Osra_ac Trap --
Classrm Sink -,_^. Urinal -- txt Grease Trap
Fluor Train " Fyc Wash Stn -
m Sink 'Tan
Bose Bibb > ca
_ - - y Well -- Deduct Meter
Wader Heater _ __ F Prep Sink
Drink Pntn _ , _ ._ Wtr 5uwcr bar L: Chu 1.11 Elect CI PueVne Floor Sunk .. `
Wash Fntn Wtr Usage AMe' -
Clothes Water Hand $ink ���- " -` "'
Cao-ob )Sarin Mime FiRturcn ___
tirdry Tray _ Lob rink "'
Electric Contractor (for projects not requiring an Ely Form)��
Use / Nature Of Work _•._ / --9
k r +
- - ri le f - Material --., Type i - Ctmn. Type
Sanrtary Se'viav
Storm Sewer
Water Service — —
• n6/09
Received Time Mar. 23. 2011 7:09AM No. 5029