HomeMy WebLinkAbout2012-Plumbing (replace fixtures Apt 1) CITY OF OSHKOSH No 151809
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1510-1520 WITZELAVE Owner NORMANDY VILLAGE LLC Create Date 08/20/2012
Contractor J RASMUSSEN PLUMBING INC Category 442-Commercial-Interior(New/Relocated Fixt Plan
Inspector Jerry Fabisch
Bathtub 1 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower 1 Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory 2 San Sump/Pump FIr/Wst Sink Bidet Site Drain Misc.
Toilet 2 Water Softner Hand Sink Urinal Wait.St. Fixtures
Kit Sink 1 Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher 1 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
Use/Nature 1 ULTI-FAMILY(111 N EAGLE ST-APT#1)/REPLACE FIXTURES IN SAME LOCATIONS "`debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0611440000
Valuation $2,500.00 Plan Approval $0.00 Permit Fees _ $56.00 ❑ Permit Voided
Issued By )t-Y-.)/__J Date 08/20/2012
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(work
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.
08/20/2012 05:59 9202311289 J RASMUSSEN
PAGE 01/01
ED.Cn.Rpectrfn Services filvisiol]
P013ox Ii30
Oshkosh,WI 54903-1130
Phone:(920)23(5-5050
Pate(920)236-50$4
�
Plumbing Permit
rmit App
licat
an /i._
--1 the ri<i TIiF wrT�z I hereby apply f or a permit to do and install the following plumbing on the re miser or described, to conform
to lbr YS n State Plumbing Code,in the rna,or of which all parties hereto agree to and are bound by sa id rrgtutes.p
Application(s)and fee(s)can be brought:to City Hall,Room 20.5 or mailed to inspection Service s
54903-1128. Commencing work without permit®will result.in.frees being doubled or$100.00 plus the narntal e
Pd)J3�x t t.2R,Qsltkash W
ever is greater.
p unit fee,t�hiclt
OR
1)?:2.E._01.S...2-conlr2-Ct r g- fgb2P-Ling-In irhe egg. pit 1% etr010»Z .51 EmsAc cr r „�.,
p a uat f�
c' ad a — nols,_c.hech here
**il.dvso*y-For applicable projects, an Electrical installation Vt r,"icatiion.(EIV)form. signed by the Electrical
Contractor, or Homeowner(for installations allowed to be petfolltlned.by the homeowner)must be submitted
with the permit application. Applications sutbmitted without an Ent when ciuch is required,will not be
processed for Permit iscnsutnee and will be returned for completion.
2 - _
,lob Address -, // .-5/( ,alum 0
g labor and materials) � �� / 'J z
rOwner �,D.ti�-y_� / Contractor �r R.0.S >�u S e ,�c'.
EjSiingle PAM illy nl upJex [ Malta!-Famfl�r nRental -J r
�.�„�C.O.tnItAAiCt'tiCf;1pI n1•t1dAt9[Kiis>Ei
Number of Fixtures:
Rathnnh -_1 Sump Primp Plaster Sink
Ratf.T)rain
Volpe( ..--- .- San,Sump/Pump .�-- Scrdtcry Sink .T_-
{71/hir41anA1 . . Wow Softener -.-- Soria t3iAp ,.__,.
__. SCIVice Sink Coffee Mkr
1.nsurtory 7, • Standpipe Rc
-.- Sharp Sink Site Drain
Iona Clarage FD
SnrQetme Sink y{/n.il;ra Stn
Kil:Sink C..__ Local Want. Steri1t7a:t -----
That„+•ral _..--- Sink ._......_.__ 1cr,Chcat .-_�_
RPZ Valve Comm ice Maker
f?iithwxther 1 l9reaktr n Sink -- Bidet •� -•_.._,
_-__ Graeae Trap
Floor Drain C ii rf,,Sink _, Urinal
-
I?xt,t3rcasc Trap
Hose Ribl, Exam Sink -..,_ Hoer Tap _.__.
- --..... rye watt,sin __
Wait(Heater
F 1'.re!p Sink -___ Dipper Well
!'1(ns fa Pita fl PwrVnt -._- Deduct Meter -_
Floor$inEr. Drink Fain
Illlrr Sewer htr------ •_-
------
i'lobes Wshr ___,. .. Rand Sink Wash Film _ Wit.Usage Mir
-_..,_.ndr y Tr°y 1 Leh Sink Catch.Hnain ._ . _ Miac
Fitrt+rrec
Electric Contractor(for projects not requiring an ETV Form)_ _
Use/Nature of Work it-P-4/ 1 c-- f'-- s e��.,4 /o ,w..._.. �.___.—
Size Material T3rpc # -__ _
Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
.
OE/09
Received Time Aug. 20. 2012 6: 47AM No, 0494