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Home My WebLink About0145243-Plumbing (water heater) (D CITY OF OSHKOSH No 145243 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1900 S KOELLER ST Owner DAYTON HUDSON CORP Create Date 03/24/2011 Contractor GARTMAN MECHANICAL SERVICES 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 Target / Replace water heater for the restrooms. EIV signed by Slim's Electric. * *debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1307440105 Valuation $4,500.00 Plan Approval $0.00 Permit Fees G�n� $25.00 11] Permit Voided Issued By Date 03/24/2011 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 520 W SOUTH PARK AVE OSHKOSH WI 54902 - 6470 Telephone Number 920 - 231 -5530 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. Mar. 18. 2011 11:42AM GMS INC No.8384 P co City of Oshkosh 001114 Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903 -1130 • Phone: (920) 236 -5050 • Fax: (920) 236 -5084 014 t"'s v'^T`R Plumbing Permit Application T 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 teh 54903 -1128- Commencing work without permits will result in fees bein g doubled or S100.00 plus the normal permit fee, wh ever is greater.. OR o are • contre ctor • artier • .tin ! 'n the P tern nd lave • de ate u ds c eck pre t . Acc•unt S = - - or ant his , r. cesse _ hro • ou accoru 1;: ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Hotneowner (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. t': 4' . C Q Date, -V/0/ �� Job Address 1 906 S S. k. t. . Value (Including labor end materials) y�Q Owner I ur Contractor (M. S I -' e_ ❑Single Family Opuplex []Multi - Family ❑Rental E e6mmercial DIndustrial Number of Fixtures: Drink Fin Catch Basin Bathtub Disposal Wash Fm Wait. Si. Whirlpool Urinal Sump Pump Ice Chest Lavatory Gar Drain Toilet Ejector /Grind Exam Sink Water Softner Sculry Sink Soda DiSp' Res. Sink Coffee Maker Bar Sink Local Waste Hand Sick Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker [ as 0 Elect EePwrvnt Bidet Scry S ink Site Drain Shower Beer Tap Int Grease Imp Roof Drain Floor Drain Ext Grease Tap Standp Rcc Classnn Sink Ludry Tray Surgeons Sink K P.Z. Valve Eye Wash Stn Lab Sink Breatam Sink Shamp Sink Wit Sewer Mira Plasm" Sink Dip Well Flr/Wst Sink Deduct Matcrs Wu Usage Mfrs Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) 51 ' E k ee l - \\A-. i 4-� I` LS o M Use / Nature of Work • L �� T� � c�""� � ' . �. r'•-•-e- • - '~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o7io7 Received Time Mar, 18. 2011 11:40AM No. 4998 Mar. 23. 2011 1:11 PM GMS INC No. 8481 P. 1 arm antipodes &Mos oemaa Poao[ X130 Odibisli WI 54903-113o OT1: KOTA °Mc 920.23"D" , Fax 92042640M Electric Installation Velrifcation I(We) SLIM'S ELECTRIC INC. • (Electrical Contractor Name) 2608 Oakwood Circle Oshkosh WI 54904 (Address) (atY) (State) (Zip Code) have been contracted to perform electric installation work for GmSdne- , ► (Name of party contracted to) at the following address: /9 UO S. ka a/ -- (Address where work will be performed) . The nature of the work consists of. (Check One or Describe the Nature of Work) Recomection or new circuit for replacement (fig Plant and/or A/C Condenser. __L., Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cablo, Meter Bone, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other pennanendy wired appliances) (Etta:ea New circuit for the addition of A/C to an fns dwelling writ (house or the individual systems in a duplex or condominium). including required service electrical outlets, Other The value of this work is $ /40 ' '° I hereby verify this work will be performed by an employee of this company and Author verify the reconnection 1 installation will be done in compliance with manufacturer and Electric code mquireme nte. a . J ' „ JD ,9 u), 114 .3//// (Signature of Com • •, % : cer) ( � (Print Name of Of& (D e) s/02 Recei Time Mar. 23. 2011 1:10PM No.5038