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Home My WebLink About0145761-Plumbing 0 CITY OF OSHKOSH No 145761 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2341 SHORE PRESERVE DR Owner PETER J CULP Create Date 05/04/2011 Contractor LARRY HANSEN PLBG Category 412 - Res - Interior (New /Relocated Fixtures) Plan Inspector Paul Wolf Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower 1 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 1 Standp Rec 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 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. Installing new framing to create rooms in the basement per plan submitted. No structural of Work alterations will be made to existing framing. Some areas will be framed in but not finished off (see plans provided). No bedrooms will be added to the basement. All construction shall comply with State and local building codes. Separate HVAC, electrical and plumbing permits shall be obtained. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1281330000 Valuation $3,790.00 Plan Approval $0.00 Permit Fees $35.00 ❑ Permit Voided Issued By al"-frt q_/ Date 05/05/2011 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 Inspection Services Division P Box 1 O 1 f shkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 I K H 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 participatinrt in the Permit Fee Account System and have adequate funds. check here if you want this processed throurth your account n '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 ETV when such is required, will not be processed for Permit Issuance and will be retuxned for completion. Job Address a Shore }h - reserves Value (Including and � m ) 3�g0.ct Date c»-D.9 -11 Cu ( Owner 1p I-C vS; 01 ¢ nt t Contractor "-1't�tnseim PI LL-m 1.01_1:1 r . ,g5ingie Family ❑Duplex DMulti Family ['Rental OCommercial (]Industrial Number of Fixtures: Bathtub Sump Pump Plast Sink Roof Drain Shower 1 San. Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Cogs Mkr Lavatory ___1___ Standpipe Shamp Sink Site Drain Toilet 1 Garage FD Surgeons Sink Waitrs Sin Kit Sink 1 Local Waste Sterilizer Ice hest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher ___L_ Breakcm Sink Bidet Int Grease Trap Floor Drain Chssrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter 0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mfr Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Mist Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work er ran- rnnci.o I Size Material Type # Conn. Type Sanitary Sewer RE' ''''� Storm Sewer MAY 0 5 2011 Water Service COly vi A r ' t _ N _. INSPFr 06/09