HomeMy WebLinkAbout0151407 - Plumbing (replace fixtures) CITY OF OSHKOSH No 151407
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 615 AMHERST AVE Owner DISCOVERY PROPERTIES LLC Create Date 07/24/2012
Contractor C SWEETING PLUMBING LLC Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jerry Fabisch
Bathtub 1 Clothes Wshr 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 2 San Sump/Pump FIr/Wst Sink Bidet Site Drain _ Misc.
Toilet 2 Water Softner Hand Sink Urinal Wait.St. Fixtures
Kit Sink 1 Standp Rec 2 Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher 1 Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb 2 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use/Nature SFR(RENTAL)/REPLACE FIXTURES FOR FUTURE SALE OF HOME **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0702570000
Valuation $3,000.00 Plan Approval _ $0.00 Permit Fees $91.00 ❑ Permit Voided
Issued By an(j Date 07/30/2012
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 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017
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 -
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903-1130 er)
Phone:(920)236-5050 (�
Fax:(920)236-5084 O! 1((_.�(1\OJH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)can be brought to City Hall,Room 205 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
If you are a contractor participating in the Permit Fee Account System and have adeauate funds. check here
if you want this processed through your account RI
**Advisory-For applicable projects,an Electrical Installation Verification(EIV)farm,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an ElY when such is required,will not be
processed for Permit Issuance and will be returned for completion.
Job Address ,I S A/I-41fa4s r Value(Including labor and materials) 3/C 00 • 0 v Date 7—/ / Z
Owner .0 1`.5 c 0../.4,-7- P''or Contractor ' C - ,5 4- °+,H 5 P4.2
'Single Family ['Duplex DMulti-Family ®Rental ['Commercial DIndustrial
Number of Fixtures:
Bathtub ` Sump Pump Plaster Sink Roof Drain
Shower 1 San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory )-• Standpipe Rix 1 . Sharp Sink Site Dram
Toilet 1- Garage FD Surgeons Sink Waitrs Stn
Kit Sink I Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Mater
Dishwasher i Breakrm Sink Bidet Int Grease Trap
Floor Drain
Class=Sink Urinal Eat Grease Trap
Hose Bibb 1- Exam Sink Beer Tap Eye Wash Stn
Water Heater I F Prep Sink Dipper Well Deduct Meter
a Gas 0 Elect 0 PwrVnt Floor Sink Drink Fusin Wtr Sewer Mtr
Clothes Wshr _l_•_ Hand Sink Wash Fain Wtr Usage Mir
Lndry Tray Lab Sink Catch Basin hate Fixtures
Electric Contractor(for projects not requiring an ETV Form)
Use/Nature of Work k"--/t P •
Size Material Type # RECEIVED
Sanitary Sewer
JUL 23 2012
Storm Sewer
DEPARTMENT OF
Water Service COMMUNITY DEVELOPMENT
INSPECTION SCRVICE .DIVISION
06/09