HomeMy WebLinkAbout0151319 - Plumbing (water heater) CITY OF OSHKOSH No 151319
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 522 SCOTT AVE Owner KARGUS PROPERTIES LLC Create Date 07/23/2012
Contractor D.R. HANSEN PLBG. Category 411 -Residential-Water Heaters 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 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 1
Use/Nature DUPLEX(902 WISCONSIN ST)/REPLACE GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0501440000
Valuation $760.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By L J Date 07/23/2012
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh •
Inspection Services Division
P O Banc 1130
Oshkosh,WI 54903-1130
Plume:(920)236-5050
Fax:(920)236-5084
J.
,�►8 J
Plumbing Permit Application
I hereby apply for a permit to do a ti install the*Mowing plumbing on the premises hereinafter dam,the wudcto conform to the
Wisconsin St to Pkmibing Code,Wise per immune ofwbich all paws hereto agree to and are brondby said statutes.sad fee(s)can be bras&to Cily Ibll,Room 205°alumna&to Inspection Services,PO Box 112S,Oshkosh WI
• 54903.1128.$)Commencing wort withontpetmit(s)will remit in fees being doubled or S100.00 the normal permit fee,which
ever is greater.
OR
J f vorx are a M g r a c t g L gi , ,t' . ., ; .. r, f ee 1 • s. _. ; e I r. • ,awe • • - A1.( c., ..1. . / _ e
laid ,oanr rl i�proceared throaglr vorar accorcgf.0
**Advisory-For applicable projects,an EIecmical Installation Vilification.(HIV)fbrur,signedby the Electrical
Contencto r or Han er ' 'onsaliowed tobe.pe itnedby the bonom be submitted - ..
with the permit appficasi 2. Appliestions ilt r )S Vr41
notbe -
processed fbr Pcmrit !Mite d�rcompletion. .
5o?ab ciD7 ./
Job Address d10b? t 9ccn,d; Value ordudin lobo.rena sneteriatWil 41P C° Date '1 I.Q01 to..
a • ., 1 __te Contractor 'D R Ir o Turnbi ____
T..-,.gie y . _ 01)-,,,, ❑Mni F,omdb C]1 i- OCanw pndnstrist
Number of Fixtures:
Bathtub Snmp Pump Plaster Stott SealeDcnin
Sheeler Saes SomplPtamp Scullery Sink Dim
Whrlpool Water Softener Sawicz Sinkc COntel�n
L.avaemy SnantpSinkt S11
'Dena Garage smseaeasslalt Wa3nsSb
Kit Sink Local Waste SIMS= Ice Chest
Disposal BaSink PPZ Valve. CttotmTee Maker
Dishm„ber Meg=Silk , Met raRer�e Top
Floor Dada Clereem Si* .Minot Bet theme Ilep
Hose Bibb • Beam** Deer Up Eye Wade Stn
War,Neater 'Prep Sink - .Dipper Welt Deduct/deter
erGasUmect0�nt moor sink - Drink Pain — .- ...WeSancM+r
ci062t Wlk Hind sink[ _Washlinii•- Wirt hi r
Letitribt9 Lab stint Caada Basin Km Meets
Electric Contractor(for projects not Ong an EIV Form)
Use/Nature of Work S.114-8.11 40 0,Ax G a.�
. size Materiel 1►pe 0 - - Com.Type
Sanitary Sewer
Storm Sewer
Water Service .
` 06/09
Received Time Jul. 20. 2012 11 : 38AM No. 0156