The URL can be used to link to this page

Home My WebLink About0145781-Plumbing (bathroom remodel) ° .■I i i i i.C ..1 # CITY OF OSHKOSH No 145781 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 819 W 19TH AVE Owner MATTHEW R/ASHLEY J HOFF Create Date 05/06/2011 Contractor HOMEOWNER Category 413 - Res - Interior (Replacement Fixtures) Plan Inspector Paul Wolf Bathtub 1 Clothes Wshr 1 Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower 0 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 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 GreaseTrap 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 Install new bathtub and lavatory in upper level bathroom and connect open vent in lower level to the DV system per ' ' W of Work node. • Size Material Type # Conn. Type Storm Water — Parcel Id # 1412870000 Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 I Permit! Voided Issued By Date 05/06/2011 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing • the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performajt % this work I agree to • i - rf; r all work pursuant to rules governing the described construction. Alf Signature I 1.. � - 41 r MUM Date C ' (y '10 Agent /Owner Address 819 W 19T /A OSHKOSH WI 54902 6720 Telephone Number 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. 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 � J � ( Fax: (920) 236 -5084 OJ ( 1 N\OJ u I 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 contractorparticipating in the Permit Fee Account System and have adequate funds. check here if you want this processed through your account r( ** 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 8I °t LO 1 Au C, Value (Including labor and materials) 0.)0C.). (X) Date 6 / 5 / Owner nic1- r/Ask\e ltf Contractor 13 x 03 rn 2o -R0..., , ['Single Family ❑Duplex OMulti- Family ORental OCommercial ❑Industrial Number of Fixtures: Bathtub i Sump Pump Plaster Sink Roof Drain Shower 1 San. Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet 1 Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Brealam 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 0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr 1 Hand Sink Wash Fntn Wtr Usage Mtr Lucky Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work OK b Pawl i,u(1� i . , I., Av <<k 4,, 11., sews 4 , ue,,-- Size Material Type # Conn. Type a `t,'"'° Sanitary Sewer Storm Sewer Water Service 06/09