HomeMy WebLinkAbout0151370-Plumbing (laterals) CITY OF OSHKOSH No 151370
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 823 MERRITT AVE Owner SHAWN MCAULEY Create Date 07/25/2012
Contractor D.R. HANSEN PLBG. Category 401 -Residential-Exterior(laterals) Plan
Inspector Jerry Fabisch
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
Use/Nature SFR/Installing new sanitary sewer lateral per correction notice
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service
Parcel Id#
1101150100
Valuation $1,800.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided
Issued By ...c" Date 07/25/2012
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 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
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.
City of Oshkosh .
Inspectiaa Services Division
P Calyx 1130
Oshkosh,WI 54903-1130
Phase;(920)236-5050
Floc(920)736-5084
- ON TH wAr R
Plumbing Permit Application
I hereby apply for a pel:nit to do and install the hollowing plumbing on the premises hereinsdter described,The work to conks=to the
Wisconsin State Pbmmbing Code,iehbe performance ofwbich all parties hero agree to and are bond by said sue..
• Application(s)and fee(s)eau be brcmghtto City Hall,Room 205 or Ended to lnspection Se rvices,Ro Box 1128,Osldawh WI
54903-1128_ Commencing wok wi"houtpelmii(s)will iesnit.in fees being doubled.or$100.00 plus the nomad permit fee,which
ever is granter.
OR
02 , e ' ,.. 1' . , ci"!. -.t= !. t i e _ -ru t ee - '.I„J, . . e i '.t.(..,: i ' e - i tr.1 e r. ,, r_:_ . i ' e
if you wont AU processed through yoltr accaa> n&fl
**Advisory-For applicable pea jects,an Electdcal bo auction Veo bion(UV)fps,sigandby the$kcal
Contractor oar Ko meowner.(f u ationsallowedt o be w ed Iy e r)nimrst be submimed _-.
. with the permit appli+ o A Applications sob A�witboeaadY _ s iiiaimi7i ;1611= tbe
• .
puocessed for Permit Issuance and wilibe tool Soar oanetion.
Job Address.e.a_-3 Pleicr 4 Poi E., Value(betiding laaaraadmenials) h l (i).r'° Date I I Q S 11'd
Owner lilelorl 01CAAAWLA Contractor S. 'A s.,,e.: a „, u .'..x u
EiSingte Family CIDEIPo pMula . OCoanlme tcltd a i ,
Number of Butt r.s:
Bath Sampfloup P Sint Roat'Din
m
Shower sea stw uegt Sh>olk'rI Stoic Sod DDyp
Whirlpool Warr Softener Service sink Coffee Mier
Standpipe Roc Sham Sink She Drain
Toilet Game kD Stevens Silt whites Sea
Kit Slok Legal'Waste smitten' Tee Chest
Disposal - Bar Sink A Whet CloMaker M �
Dishwasher Break=Siok Bidet liar Oman Map
Thor ► Urinal Urinal at
Ftoa BeOahe
'HoaoBibb Ewa Sink Beerlep Eye Wash Sta
Walerlioder V Ftep sink Dipper Well DedoaRhdaRv
0 Gas Q Fleet 0Patt'Vnt Floor Sink Dtrede Ihloma wtr saver l
ctomsswshr Heed Siadc Wash Pete Wtr Map her
UNITY 9 b Sink Otela Resin __ M®a Thames
Electric Contractor(for projects not requiring an ITV Fenn)
Use t Nature of Work -
- Size Maul Type #
- lona Type .
Sanitary Sewer 1 .. acc. Sail;Ab L j €€i. _� l^
I%
Stun Sewer
Water Service .
` 06/09
Received Time Jul. 25. 2012 7: 15AM No. 0193