HomeMy WebLinkAbout0151357 - Plumbing (repair fire damage) CITY OF OSHKOSH No 151357
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1126 KNAPP ST Owner TRI STAR INVESTMENTS II 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 1 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 1 San Sump/Pump FIr1Wst Sink Bidet Site Drain _ Misc.
Toilet 1 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 Scully 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/REPAIR FIRE DAMAGE **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1305940000
Valuation $1,800.00 Plan Approval _ $0.00 Permit Fees $56.00 ❑ Permit Voided
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Issued By(- Thin J 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 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 ( 5)
Phone:(920)236-5050 pr
Fax:(920)236-5084 `!-��n�—K O�
. - 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(a)can be brought to City Ball,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 participatinz in the Permit Fee Account System and have adeauate funds. check here
if you want this processed through your account il[
**Advisory-For applicable projects,an Electrical Installation Verification(EIV)form,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 EIV when such is required,will not be
processed for Permit Issuance and will be returned for completion.
Job Address /1 1-6 /C"rftp .(r- Value(Including labor and ma eriab)v f U v Date ?V/5//2
Owner Tz r. 5 c 4.i.-c,--Jilt Contractor - C–S— -F-. • •3
Single Family ['Duplex DMulti-Family []Rental ['Commercial DIndustrial
Number of Fixtures:
Bathtub 1 Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullay Sink Soda DisP
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory + standpipe Rec Sbarnp Sink Site Drain
Toilet i Garage FD Surgeons Sink Waits Stn
Kit Sink 1 Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher f Brealam Sink Bidet Int Grease Trap
Flax Drain Classrm Sink
Urinal Ext Grease Trap
Hose Bibb .'Qf Exam Sink Beer Tap Eye Wash Sin
Water Heater F Prep Sink Dipper Well Deduct Meter
0 Gas❑Elect 0 PwrVnt Floor Sink Drink FnM Wtr Sewer Mtr
Clothes Wshr ___I__ Hand Sink Wash Fnm Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Kw Fixtures
Electric Contractor(for projects not requiring an ETV Form)
Use/Nature of Work a c°"`o-/e-
Size Type # . -. i CEIVED
Sanitary Sewer JUL 2 3 2012
Storm Sewer DEPARTMENT OF
COMMUNITY DEVELOPMENT
Water Service INSPECTION SERVICES DIVISION
06/09