HomeMy WebLinkAbout0145979-Plumbing (water heater) (a) CITY OF OSHKOSH No 145979
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 90 FARMSTEAD LN Owner BRYAN W /SUSAN E HOCHSTEIN Create Date 05/19/2011
Contractor JOHN D RANSOM Category 411 - Residential -Water Heaters Plan
Inspector Paul Wolf
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 SFR / REPLACE GAS WATER HEATER **debit Kitz & Pfeil acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1528320000
Valuation � Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 05/19/2011
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 W5056 PARADISE LN FOND DU LAC WI 54935 - 9662 Telephone Number 920 - 922 -1987
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.
HU. MAY. 19. 2011 01:39 PM KITZ & PFEIL OSHKOSH FAX No, 9202363348 P. 001 /001
crt of Dshkoah . • Tnepeciion S ervices'Division .
• P0Box1130 • . •
Oahkosb, -1130 . -- � 1
•
Phone: (920) 236 -$050 • . O, II'�.OII�l
Fax (920) 236 -5084
DN THE WATER
Plumbing Permit Application
'hereby apply fora permit to do and install the following plumbing on the premises hereinafter described ,' the wart to conform to the
Wisconsin State Phunbing Code, in the performance of wbicb all parties hereto agree to and are bound by said statutes_
. Application(s) and•fee(s) can be braugbtto City Hall, Room 205 mailed to Inspection 'Services, PO Box 1128,
• Os1ikosh it 549Q3 -1128. Commencing work•without permits) will result in fees being doubled or 5100,00 plus the
normal permit fee, wbi.ch ever is greater. • •
OR . •
ou are a.cont actor ,artici•'atin- i .the Permit Fee Account 8 stem and }lave adequate funds check here
if you want' th'is'vroce .ised through vour account' f .
[�, 1 • T d, eel - )Date 3 I 9' . -' J.
.fob Address � rip (� n1 S �e �/l �cr vague (Including labor and mated Is) • ,� � i
O w m o J r . . a r ` 3 , , a n . L40 = K 5 'f h Cnntra ctor • N • .
• Sin e7am3 R�eutal ❑Commercial Lnrfustl;ial .
-� g� � �'�Dupl� - i�ii�'a [�
.
•
•
, Number of Eiures: . . , •
Bathtub IadrY Stsndp Dent Open Slump Sink •
Whirlpool Dispose] Dip Well Ftr/Wst Sink •
Lavatory , Dishwasher . • • Drink R Catch $asin
:Toilet • :Sump Bump Waft St. Waal, Eta
Res. Sink • 13eetor/Grind . Ice C hest Urine] •
4 - 'Sfnk • • Water Softner Pram Sink Gar Drain •
. Water Fleeter y Local Waste . Seulry Sinks Soda Disc .
®teas 0 Elect D kwrVnt • Clotbea Wsbr Fiend Sink Coffee Maker
Shower Bidet g Prep Sink ,
Ice Maker
Floor Amin Beer . Tap Sev Sink Site Train
1 " i TraY Claes= Sink . Re Grease Trap • • Roof Drain •
Lab Sink Surgeons sink Ext G Tra Shand)) Rec•
Plaster Sink - • Breekrrn g • ILPZ Valve Eye Wash Stn • •
' Sterilizer - • •
.O . •
• Electric Contractor OR • • [Electric Installation Verification form attached
• , (IfRaplacement) , : .
The / Nature of Work •
Size Material Type .# Conn_ Type
Sanitary Scorer
57orm3ewar ... CS ti
' WatOr S . •
• • • . 03
. •Received Time May, 19. 2011• 1:27PM.. o, 5126• . .