HomeMy WebLinkAbout0146334-Plumbing (water heater) CITY OF OSHKOSH No 146334
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1140 MERRILL ST Owner DANIEL G SCHWEDA Create Date 06/14/2011
Contractor GARTMAN MECHANICAL SERVICES Category 411 - Residential -Water Heaters Plan
Inspector
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 power vent water heater. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1007810000
Valuation $1,395.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By ajj-yt.p Date 06/14/2011
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.
Jun. 14. 2011 7:40AM GMS INC No. 0286 P. 3
City of Oshkosh
Inspection Services Division
P O 13ox 1130
Oshkosh, WI 54903 -1130
Phone (920) 236-5050 0/Hp/HI
Fax: (920)236- 50846 -5084
ON THE WATER
Plumbing Permit Application
1 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 W1
54903 -1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the normal permit fee, which
ever is greater.
OR
!f y ou are a contractpr narticipatinY in the Perm't F.e . t ' - a . < e e _r . le unds check here
if you want this processed through your account r4
** 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 EIY when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address 11 r4O (u-'- 1 s4 . Value (Including labor and materials) 1 " `.C' Date Col /I/ IL
Owner h Sc,h. cue. Contractor G v►tS 1 1vtic_. ,
[ Family DDuplex ❑Multi - Family DRental ❑Commercial ['Industrial
Number of Fixtures:
Bathtub Disposal Drink Fm Catch Basin
Whirlpool Dishwasher Wait. St. Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
'toilet Ejector/Grind Exam Sink GM' Drain
Res. Sink Water Sotther Scuhy Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothca Wahr F Prep Sink Comm_ Ice Maker
o Gas 0 Elect " wrVnt Bidet Sery Sink Site Drain
Shower
Beer Tap Int Grease Trap Roof Drain
Floor Dram CIUsrm Sink Bxt Grcasc Trap Swap Rcc
tsdry Tray
Surgeons Sink RP Z. Valve Eye Wash Stn
Lab Sink Brcaknn Sink Sbamp Sink Wtr Scwcr Mtrs
Plaster Sink
Dip Well
p Flr/wst Sink Deduct Meters
Sterilizer
Hose Bibs Wtr Usage Mfrs
Misc.
Fixtures
Elcctric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work p,A ..,. -,,- W 4 �,--
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
07/07
Received Time Jun. 14. 2011 7:38AM No. 6017