HomeMy WebLinkAbout0146565-Plumbing (water heater) CITY OF OSHKOSH No 146565
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 252 N CAMPBELL RD #B Owner SANDRA J REINKE Create Date 06/28/2011
Contractor J RASMUSSEN PLUMBING INC 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 Condo / Replace electric water heater. EIV signed by Drexler Electric. * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0608040220
Valuation $600.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 06/28/2011
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289
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.
06: 9202311289
',At) 01' USbko11
3 RASMUSSEN PAGE 01/02
,4
O Oshkosh, Servic0 C1tv 1510n
P O 13ox 1130
Oshkosh,'WI 54903-1130
Phone: (920) 23fw5050
Ff1', (920) 236 -508.4 .
Plumbing Permit Application
wnrcr.
1 hereby apply fora permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, M the performance of which all parties hereto a.grw'e to and are bonntl by said statutes,
• Applic:etion(s) and fee(s) can he brought to City Hall, Room 205 or mailed to Inspection Set /kW, PO Box 1128, Oshkosh W1
54903 -1128. Commencing work without pegnit(s) will result in foes being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
If a c, lrgtctor D'r!icival( r
2 tg.JEr the ens r
jf_,m�gv wanr rr.t merge ,terms tt. r v _.ogre a � . AccgrlHl CJ!S.K�lsr and �drtve3.�1�9 nxe f1ltrds, cAJ_rff (tBrE
_f�.G•.p_eflrt
** .Advisory - For applicable projects, an Electrical Installation. Verification (ETV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be pcmrf nmed by the homeowner) maist be submitted,
with the permit application. Applications submitted. without an ETV when such is rcgmtited, will not be
processed for Permit Issuance and until be returned For completion. 5a- g C- /
A,d.dre s r2- k '11-4 L-ll Value .Theluding labor materials) Date 6 8 .Iob
( 6on °o y _
Owner Contras; for l Ras hA , .1 S .e xi P) �~,�
r...�Single Family ❑fuplex 1 Muni- Family DRemtal r -
C�Colrtert�ereJieol �><>selewste•ia1
Number of Fixtures:
•
Rmhh/h - - - -- Sump Pump _T„- Plaster Sink
Shower 4an, ihimpJl amp Roof Praia
Stullcry Sink
VPhirlrynol _.-- WAtcr Sotir.,ter _y - -. - - -, .._ Soils _ ^,
Service Sink Coffee Mkr
1 ^natmY --- $t»rxlpip Shtrn1pSink �� .. _
1'niler, — SitcUrah�
Garage FP Sm erns S ink
.Kft Sink Waitrs Sin
Local Waste Stcrili,m - -- –
Disposal ....—•_ RarSink icc Chcet _
- --_ RP?, Valve _ Comm ice Mwktu
Dishwasher rtrrnm Sink Bidet .•—
IrrtCarcvtsr. imp
Floor Drain C lxsntm Sink —, __ Urinal T
Ext. Grease Trap
nose Rihh -_ __ Slim Sink '—'"�_ --•
--.-»_. Beer Tap rye Wash Sin
Water Baiter — f . F Prep Sink Dipper Well —
:I C'rna l :leer r Pt�TVnr.
� i odwa Motor _,.
Floor Sink Drink Pain
C lothea Wow -- Wu Sewer Mt► _
Nand Sink Wash nun —
Lathy
Tr -- _ i.nh Rank M We-Unite –.- - - -- -• Catch FSardo -- Miac lRix4Rcm
Elcchie Contractor (for projects not requiring an EIY Form)
Use / Nati re of Work i2 A (& a•o ' • P d-A—Z 1 -42 y
,
Sia. .k Matcria.l _.__.� �._M, ._
Type _ C:ionn. Type _
Sanitary Sewer ltnm, Sewer
•
Water Service
0,,,c,
Received Time Jun. 28. 2011 6:24AM No. 6162 .
06/28/2011 05:42 9202311289 J RASMUSSEN PAGE 02/02
City of Oshkosh
Dlvlelon of inspection Services
u Avmue
PO 2t5 .Be: 1 130
Oshko rch W1 34903 -1130
TEI
• Office 920.236.5050 •
r rex 920_236-5094
Electric Installation Verification
I e 1 E, L LC
ri (Electrical Contractor Name or Homeowner's Name)
•
• • 49 a LO1JA 'L 2h, - I isqci LLI
(Address) Ci
( tS') (State) (Zip Code)
accept he re onsibility to perform the electric work as stated below, at the following address:
,J 1/4-5141 'SP/ un hi ' , f
• (Address where work 1 be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
•
Reconnection or new circuit for replacement Heating Plant and/or AJC Condenser.
e X Reconnection or new circuit for replacement Electric Water Heater or power vented
water. heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi -use building would require a licensed Electrical
Contractor.
Other
•
•
The value of this work is $ 0 -Q4' •
I hereby verify this work will be performed in compliance with the License requirements of
Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements. 1‘1X114 if74e.7 . \/
G c?.?
(Signature of Company Officer or Homeowner (Print Name) (Date)
07/07
Received Time Jun, 28. 2011 6:24AM No. 6162