HomeMy WebLinkAbout2012-Plumbing (replace fixtures) gl CITY OF OSHKOSH No 152017
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1510-1520 WITZELAVE Owner NORMANDY VILLAGE LLC
Create Date 08/29/2012
Contractor J RASMUSSEN PLUMBING INC Category 443-Commercial-Interior(Replacement Fixture Plan
Inspector Jerry Fabisch
Bathtub 1 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp P Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory 1 San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet 1 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 MULTI-FAMILY(121 N EAGLE ST-APT#11)/REPLACE FIXTURES IN SAME LOCATIONS **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0611440000
Valuation $2,000.00) Plan Approval $0.00 Permit Fees $35.00 ❑ Permit Voided
Issued By yn Date 08/29/2012
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.
08/28/2012 06:41 9202311289
J RASMUSSEN PAGE 01/01
(fl.gi e`t14n Se ViCeS Mi7.Q1iT
!'OE3o.M113p
Oshkosh,Wl 54903-1130
Phone:(920)234.,5050 I
Fax!(920)236 5084
_10—MTH
Plumbing Permit Application ON TI•ri°WATER
I hereby apply for a permit to do and install the following plumbing on die premises hereinafter deceribed,the
Wisconsin State PlutnNing Code,in the performance cif which all parties hereto a
work to ccnofrn:m to the
grcc bn and arc bound by said statutes.
Application(s)and fee(s)can be brought to City hail, Room 205 or mailed to Inspection Services,PO i3ox 1128,Oshkosh ■11
54903-11.28. Conilnencing work without,permit{-5)will result in.fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
La r� ark a cnn�lraclnr hrar,tw�XI ng lea f,G.€_,(: r
�wi h'_t►nt,llt r. �..Z{1L._1' cc r1L_IL.EL,e�.lt.'...S�1d4,1mye Ode u e
l,L pf..eFr.w..4 t r ai ...Y_°i�acti.ET1.. 9 gl1`Z�!� ,£.__4. $ f 1�.fre,
** Advisory-For applicable project., an Electrical Installation Verification ion(EiV)forme,sighed by the Electrical
Contractor ortioin eowner(for installations alloyed to be pelsformed by the homeowner)nn*st be submitted
with the permit application. Applications submitted.without an ETV when such is.required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address /^ ) a'
±,r 1f `L Q I'e Va.I s l e,(.rounding Iahnr and m a t e r i a l s) 0 O iaatte 2 2 1- -- /
4� v
Owner c N ff"'1 +._ Contractor -171. R AS ►+t u .1 S•e n) Pip , 1—/...'c
0Single Farittily ❑l)ulplcN 9";',Miiltl-Family []Rental DCommcrciai O.11:ndtustriai
Number of Fixtures:
Rntio rh �•,11 Sump AnrP Piaster Sink Roof Drain __
Shreve. .._..,__- Son.Sump/Pimp Scullery Sink ___ Soda Diatp _.,,.._„
Whirlpool ______, Wnl.cr SoRrn,er -_,—_ Service Sink Coffee Mkr
t.avatnry __•_l_-. Standpipe Roc ,..__-- Shamp Sink _ Site Drain
Toilet. —11l Garage Fl) Surgeons Sink __ UTa.itrq Sin
Kit Sink _.-1 Local Waste Liter/11w __y,-- lco Cites -----
l?iApnBnl -_— _ Bar Sink _^—__ RPT.Valve
— _. —� Comm lcc Maker _
[)islnvstAl,er — Brcakrm Sink Bidet Int Grease Trap __•,,,,,-
PI4nr Drain . .. Clpgcrri Sink Urinal .-.—__ nri.Grease Trap ------
nom
Lr ra Sink RcGr Tap - - Eye Welch Sin 13{yl� m _
ltlma Heater F Prep Sink ..__-_ Dipper Well ---- oednct Macr
I",'Gas C.,Elect fl Pliavnt Floor Sink _._-...._ Drink Prom Wtl'Sewer MO 11_'
Clothes Wshr Hand Sink _ Wash r --' Wir U. Mu
Unity Trey .___ Leh Sink —.--.. Cotc$t Bailin _
__...._.. Misc Pixel= _..._._._-
Electric Contractor(for projects not requiring an ETV Form) ________._
Use/Nature of Work �.e e�/tit -w 5 oft -s'A { (N k4,&;,t 11,91.t
d 1l
Size Material Type --- Conti. Typc.�..--- —J`
Sanitary Sewer
Storni Sewer
Water Service
ne/US
Received Time Aug. 28. 2012 7: 29AM No. 0618