HomeMy WebLinkAbout0151822 - Plumbing (kirchen remodel) CITY OF OSHKOSH No 151822
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER Create Date 08/20/2012
Job Address 3109 BELLFIELD DR Owner STEVEN J/MARY E PENTONY
Contractor WOLF&SONS PLUMBING LLC.
Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jerry Fabisch — Deduct Meters
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct ct Meters
Mtrs
Exam Sink Sterilizer Soda Disp Wtr
Shower Lndry Tray Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
F Prep Sin
Whirlpool Sump Pump Site Drain Misc.
Lavatory San Sump/Pump FlrryllstSink Bidet Fixtures
Toilet Water Softner Hand Sink
Urinal Wait.St.
Beer Tap Ice Chest
Kit Sink 1 Standp Rec Lab Sink Comm Ice Maker
Disposal Gar Drain
Plaster Sink Dip Well
ry
Scul Sink Drink Ftn Int Grease Trap
Dishwasher 1 Local Waste Wash Ftn Ext Grease Trap
Floor Drain Bar Sink Sery Sink
Hose Bibb Breakrm Sink
Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use/Nature SFR\Kitchen remodel
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1381030000
$0.00 Permit Fees $25.00 El Voided
Valuation $1,200.00 Plan Approval Date 08/20/2012
Issued By A A —
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 with' 'an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to cure a necessary approvals before starting such activity. Cr 2...0 Z
Date
Signature
Agent/Owner
Address 130 W.FRANKLIN AVE. UNIT#741 NEENAH
WI 54957 -5031 Telephone Number 920-379-9772
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type
eo of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name
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
Box 1130
Oshkosh,kosh,WI 54903-1130
#114
Phone: (920)236-5050
Fax: (920)236-5084 O.HKOJH
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 adequate funds, check here
if you want this processed through your account Ti
**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 /C7 Ale//f:t /d Value (Including labor and materials)JP 3.■ v 4' Date d' .a v''L
Owner Contractor uc//` . -�, /47/�
..Single Family 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 Shamp Sink Site Drain
Toilet 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 _0,1/i4// ,-te ,e fr,CG, 5-,.,?/ „.( 224../
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
06/09