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Home My WebLink About0151666 - Plumbing (bathroom remodel) CITY OF OSHKOSH No 151666 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 514 W IRVING AVE Owner PINE MOUNTAIN INVESTMENTS LLC Create Date 08/13/2012 ---------- Cate o 412 Res-Interior(New/Relocated Fixtures) — - Contractor C SWEETING PLUMBING LLC __- g -- - --- - Inspector Jerry Fabisch Deduct Meters ------------- Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain ---- Wtr Sewer Mtrs - - Soda Disp Exam Sink Sterilizer p -- - Shower 1 Lndry Tray ---- --- _ Wtr Usage Mtrs F Prep Sink RPZ Valve Coffee Maker g Whirlpool Sump Pump --- Bidet Site Drain Misc. FIr/Wst Sink Lavatory 1 San Sump/Pump Fixtures Toilet 1 Water Softner Hand Sink Urinal Wait.St.-_- --- Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest ---- Dip Well Comm Ice Maker- -- Plaster Sink Disposal Gar Drain Dishwasher Local Waste Sculry Sink rY Drink Ftn Int Grease Trap-- --- Wash Ftn Ext Grease Trap — Floor Drain Bar Sink --- Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use/Nature Duplex/Bathroom remodel* install plumbing associated with the remodel of Work I _J Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0500140000 $0.00 Permit Fees $25.00 ❑ Permit Voided Valuation $2,000_00 Plan Approval $-- p - r---�+ Date 08/13/2012 Issued By ��rS- 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. Date Signature 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 P O Box 1130 Oshkosh, WI 54903-1130 1 04 Phone: (920)236-5050 Fax: (920)236-5084 OfHKO.f 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 Permi Fee Account System and have adequate funds, check here if you want this processed through your account **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 .5 /L / v-1,7 Value (Including labor and materials) 2,ac-X--1•4,,G Date `/J3//Z Owner ,yf K Contractor C -5 •,,_ 7 , 00/6 z_ c ❑Single Family [Duplex ❑Multi-Family Rental ['Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain I Shower l San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory " Standpipe Rec Shamp Sink Site Drain Toilet 1 Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter ❑Gas❑Elect❑PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use I Nature of Work f�-KJ e- Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09