HomeMy WebLinkAbout0146769-Plumbing (laterals) 1.4 CITY OF OSHKOSH No 146769
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 717 N SAWYER ST Owner PAUL J JUNGWIRTH Create Date 07/11/2011
Contractor M P KELLY Category 401 - Residential - Exterior (laterals) Plan
Inspector Rich Wood
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 1 Eye Wash Statn
Water Heater
Use /Nature Install storm sewer for rear lot catch basin and two downspout connections off of roof gutter system. Check #11521
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer 4" Plastic Lateral 1 New
Water Service
Parcel Id #
• 1603590000
Valuation $4,500.00 Plan Approval $0.00 Permit Fees $57.00 ❑ Permit Voided
Issued By Date 07/11/2011
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number 231 -1750
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.
of Oshkosh lily P. K INC.. •
Services Division A� N STREET �*
iBox1 665N.M • ®
soX 1130 SH, 1SC, 5z�90t 6
pSH O x/75 • H•''
VED .
af � f70 ON T E ATER
2011 b i i Application JUL 11 Plumbing App
DEPARTMENT OF *: %a Fa install the foll6wmg p on the premises hereinafter described, the work to conform to the
ere •, '; ; i. ' ill fho performance of which all parties hereto agre e to and are bound by said statutes.
•
pp 3 1 and fee(s) can br brought t to City Hall, Room 20S 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 .. ' •
s e and ha e de uate unds chec here
ou ar a contractor o i' fti ,‘ n ' n e • e Bit Fee
,ouwattis,o ,o • .0 . .1
■
Advisory - For applicable projects,
=Electrical Installation Verification (ETV) form, signed by the Electrical
s
m tg� meowlier(for lette bt, , reicdbytliehomeowner)m must b submitted
ith the permit application. Applications s ubmbm
lications submitted with • an EIF.when such is required,
to _
►b Address �- �
ocessed for Permit Is . d will•be returned for completion.
GJ
$a / alue (Including labor and m lerials) Da
1
ontractor t . $
A, _.SARI& Industrial
t t.t.t eZ []Multi - Family• - ...❑Rental r C ommerc i a l ❑ i Family ❑ . � •
.
umber of Fixtures: Plaster Sink Roof Drain
tathtub Sump Pump Soda Disp
San. Sump/Pump Scullery Sink
hewer San Service Sink t Coffee Mir ______
Vhirlpool Water Softener Sito Drain
Standpipe Rea shamw Sink
avatory Surgeons Sink Wants Stn
'oiler Garaged Ice Chest
— • • Sterilizer __ __
;it Sink Local Waste Rl'Z Valve' Comm Ico Hefter
)isposal Bar Siam Int (}cease Trap
Break= Sink Bidet —=
)ishwasher . Urinal BM Grease Trap Hoer Drain Classrm Sink Beer* Bye Wash Stn
Bxam Sink _—
rose Bibb Dipper Ward __ illia r,
F PrCP Sink Wtt Sewer Mfr
Hester Drink Fate
0 Gas 0 Elect 0 PwrVat Floor Sink • ""'- Wash Etta — Wtr Usage Mtr
;lothes Wshr Hand Sink Mist Futures
,ndry Tray Lab Sink
CatchBasin I _.
/ IV Form
/
ic Contractor (for pro'ects n . eQ i ' . ` ' ' ' , � � ��i � J 4=1— _
/ ![�/I /ri'
Nature of Work ,-
Size Conn.. - .0 •
Sanitary Sewer
•
Storm Sewer
Water Service •
0 :. 06/09