HomeMy WebLinkAbout0151355 - plumbing (cap off existing laterals) C:10 CITY OF OSHKOSH No 151355
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 507 W 6TH AVE Owner DENNIS L RYCKMAN Create Date 07/24/2012
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/cap off existing laterals for raze of house
of Work
L
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0600630000
Valuation _ $5.0.0.00 Plan Approval _ - $0.00 Permit Fees —$25.00 ❑ Permit Voided
Issued By Date 07/24/2012
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 Osbinostb
Inspection Sew Division
P0Boa1130
Oshkosh,WI 54903-1130
Throne:(920)236-5050
Far(920)236-5084
- ON TAE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the 1b lowing plumbing on the premises hereinafter described,the work to conform to the
risconsion State Plumbing Code,in s p�ommaoce ofwhich all parties hcrcto agree to and are boned by said statutes.
• Application(s)and Eoe(s)can be broggbtto City Hall,Room 205 or mailed to Inspection Services,PO Buoy 1328,Oshkosh WI
54903-1128_ Commencing work wkbout peantit(s)will reemkin fees being doubled.or$10000 phis the Hammel permit fee,which
ever is greeter.
OR
Ifvnu_are a_cyrrtractor_parts t at g,in the Permit Fee Account art and have adegaaie funds_ cheeaere
if voic_want g ij processed t oa /z your gge ee 1"1 -
- Advisory-For applicable projects,an FlediticalInstallation Vexirl ion(Sly)fioan%signedby- c Electrical
Contractor or Homeowner rim Be pc srpond. tl epwee mist be - ---
. with the permit application. A�ppli 'gofiE w of i s cegaa ;. raatbe -
prooessod for Permit Issuance and will be renamed for comedian. .
Job Address .507 (J, 604 Sr. Value(mading>swrmnaranicids) 41'5O0.CO Date *7(214(i? .
Owner ?]fir n ,Irma, Contractor i3'P Rairk5En - \t.irrlbi r4 1-1-e.['Duplex . ifs [titan*. OCornmerdal a&Istriai
Number of Fixtures:
Bathtub smnp Rump Hobs Sim RaotDaoin
•
Shower San.Sun3pPPmege Scatty S'mk Soda Visa
Whirlpool WaterS0DtIiur SeviceSink Coffin '
LavannY Standpipe Rae Stamp Sink Site Drain
Toilet Garage FD Smgoans Sink Waina Stn
Kit Sink Local Waste SWIM- Ion Chest
Dispaaal Burrs* RPZ Valve Qxranlen badoa
Dithwashet STmtmn Sink Bidet fat ems°Top
FlovrDrain Moan Sink Uonal BeROmnse/lwp
Iioaenlbb Bain Sink Beer Tap Bye Wash Stn
Watts Realer F Trap Sink - - Dipper Well DedaetMeter
o Gat.Oka l7rarVm FeoorSintc DTmkPlotn
as�tart�eee
Clothes Wise Band Sink '''--hFnee' -
- • Wit Usage Mtr
Leary Tray Lib sink - 'Cards Basin - • Fiaftutzt
Electric Contractor(for projects not requiring an ElY Form)
Use/Nature of Work( SF.> _C' c,* p er I 1 nl✓
- Size Matsu it Type # - - Cain.x'ype -
Sanitary Sewer
Storm Sewer
Water Service .
06/09
Received Time Jul. 24. 2012 10: 23AM No, 0187