HomeMy WebLinkAbout0146586-Plumbing (interior) (D CITY OF OSHKOSH No 146586
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3836 COBBLESTONE CT Owner BARTI OUMAROU /A BARTI Create Date 06/28/2011
Contractor KOCH PLUMBING Category 410 - Residential- Interior Plan
Inspector Rich Wood
Bathtub Clothes Wshr 1 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 Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec 1 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
Use /Nature SFR / CREATE LAUNDRY ROOM AND ADD SHOWER ""'debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1527700000
Valuation $2,800.00 Plan Approval $0.00 Permit Fees $28.00 ❑ 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 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 -231 -6661 or 235
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.
n 28 11 11:59a Clarence Koch 9202350282 p.1
r i..; MX 113U .
Oshkosh, WI 54903-1130
Phone: (920) 236 -5050
Pala (920) 236-5084 l T mg
Plumbing Permit Application •" E
II
I hereby apply for a penult to do and install the dl`s plumbing on the premises hereinafter ace of which all patties here described, work to statutes.
to the
Wisconsin State Plumbing Code, in the p
agree to and are bond by said statumes.
• 54903-1128. s) and �(s) can be brought to City Bali, Room 205 or mailed to
ever is � work bout mss) will result is doubled or SI 00.00 plus tbe permit Eoe which
OR
if you are a contractor participating in the Permit Fee Account System and have adeauatefunds. check here
ifvou want this processed through your account Ft
" Advisory - For applicable projects, an Electrical Installadon
Contractor or vner allowed to b t l form, t submitted
by the Fi cat
with the Permit application. Applications omitted without an KM when such is
p'for Pemmit Immure and ws71 be ICt�ed ttorp will not be
Job Addr — - ., '_ . ',A.:. ..4 , — - - „::.. ,,n .,,..
Value unch d labor end mom) 2 ot O = Date --82---- 7 !
Owner
Single Family Contractor G , _ ..cg 3
�apIn Ohtani-Family . Oltenia' OComwercial Dlnduatrial
Nuunber of Fixtures:
Bathtub Sump .Punip Shower ` RoofDrma
Whirlpool ---7-- Standpipe Res �s � sink f �� ---
—^L— Service i n
Lavatory k Site in
Toilet Garage FD Shaw sink SBe Draan
•
xlc sink Local Waste was sick Watts Stn
•
Sterilizer
Bar sit • ice Cheer
DishwasherSherRPZ Valve Comm Ice Make
Floor Dram clessrm Sink met lot Grease
xoae Hibb hem sink Bet Came Trap
g am S Bea -Tap Eve Wash Stu
Q alas O I]ectO ParVot DiFper Wee Deduct Meter
Floor Sink Driak Fain
Clothes Water Hand Sink Wit Soma*
L , , Wash Bun
Lab Sink C� Basta Usage Mtr
Msc Fiatutss
trio Contractor (for projects not requiring an EIV Form)
/ Nature of Work ° I Alv .. : `> : S i1 ;; .
Size Material T ype # y
Conn. Sanitary Sewer - Type •
Storm Sewer
Water service
'' This installation is Iete and y
camp may be inspected at any time. .0i.'.- ,. /.:C ]; -
Received Time Jun. 28. 2011 11 :56AM No. 6171 _ Z f .r. / /