HomeMy WebLinkAbout0145396-Plumbing 111114 CITY OF OSHKOSH No 145396
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1416 KNAPP ST Owner STEVEN H /DIANE M MEYER Create Date 03/14/2011
Contractor LARRY HANSEN PLBG Category 410 - Residential- Interior Plan
Bathtub 1 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
Use /Nature SFR (FIRE DAMAGE) / REMODEL TO INCLUDE REPLACING BATHTUB * *check #22441
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1306710000
Valuation $225.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By1 Date 04/08/2011
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 N -1044 TOWER VIEW DR GREENVILLE WI 54942 - 8683 Telephone Number 920 - 757 -6863
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.
City of Oshkosh 7
Inspection Services Division G 0 � E� 1 1 e*
P O Bob 1130 C � �y-- --
�
Oshkosh, WI 54903 -1130 Q 4..fi
Phone: (920) 236 -5050 ZG C / e ) O A
(920) Fax 920 236 -5084 -- N 4- OJH(OJH
.
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 narticipatingin the Permit Fee Account System and have adequate funds. check here
if you want this processed throughyour account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be pied 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 I' I (D I fl Si' . Value (Including labor and materials) OD S . n N Date ()Li- 05 -11
Owner Contractor . Q nse_r> PI u-mbi.hq Inc_
(Single Family []Duplex []Multi Family ORental OCommercial Olndustrial
Number of Fixtures:
Bathtub i Sump Pump Plaster Sink Roof Drain
Shower San. Sump/Pump Scullery Sink SodaDisp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe g Shamp Sink Site Drain
Toilet 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
4
Floor Drain Classrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Bar Tap Eye Wash Stn
Water Heater
F Prep Sink Dipper Well Deduct Meter
0 Gas ❑ Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink wash Fir
Wtr Usage Mtr
Lathy Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work A>el,2.1
Size Material Type # Conn. Type
Sanitary Sewer
lima
Storm Sewer -4112r:
ewer * G me
Water Service APR 0 7 2011
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
06/09