HomeMy WebLinkAbout0151720 - Plumbing (water heater) CITY OF OSHKOSH No 151720
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1010 BAY SHORE DR Owner PINE APARTMENTS III LLC Create Date 08/15/2012
Contractor C SWEETING PLUMBING LLC Category 446-Commercial-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 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 1
Use/Nature 6 UNIT MULTI-FAMILY/REPLACE 1 GAS WATER HEATER(water heater serves 1/2 of the building) *"debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0805830000
Valuation $700.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued B L,"..-J Date 08/15/2012
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 spa �,
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050 '�
Fax: (920)236-5084 "�
P AUG 1 5 0_� THE WAATTER H
lumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the remises vEPAk7 MERE OF
COMMUNITY DEVELOPMENT'
Wisconsin State Plumbing.Code,in the performance of which all parties hereto ar� by statutes. to the
• 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
I ou are a contractor •artici•atinf in the Permit_Fee Account S stem and have ade•uate unds check here
i ou want this •rocessed throu.h our account , :fl
**Advisory-For applicable projects, an Electrical Installation Verification(ETV)form, signe
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be by the submitted
cal
with the permit application. Applications submitted without an EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address /0!U 5ho-
"%"(jr�v Value (Including labor and materials) ?CO_Pd
Date i,3 Z
Owner ,fr Gc'(G"r .!--,--7v' Contractor
['Single Family � - 5 `""L` �"'�
y ❑Duplex Multi-Family ❑Rental ['Commercial
❑Industrial
Number of Fixtures:
Bathtub Sump Pump
Plaster Sink Roof Drain
Shower San.Sump/Pump
Scullery Sink Soda Disp
Whirlpool Water Softener
Service Sink Coffee Mkr
Lavatory Standpipe Rec
Shame Sink Site Drain
Toilet Garage FD
Surgeons Sink Waits Stn
Kit Sink Local Waste
Disposal Sterilizer Ice Chest
Bar Sink RPZ Valve
Dishwasher Breakrm Sink Comm Ice Maker
Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal
Hose Bibb Exam Sink Ext Grease Trap
Beer Tap Eye Wash Stn
Water Heater j F Prep Sink Dipper Well
piGas❑Elect 0 PwrVnt Floor Sink Deduct Meter
Clothes Wshr Drink Fntn Wtr Sewer Mtr
Hand Sink Wash Fntn
Lndry Tray Wtr Usage Mtr
Lab Sink Catch Basin
Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use/Nature of Work oe ,, l X77-A B 1 has a l ci4-S (+i ) fie,n� V2,(piG1C�CQ
Size Material Type #
Conn. Type S2rt. es
Sanitary Sewer
Storm Sewer
1/z bltl))
Water Service
06/09