HomeMy WebLinkAbout2012-Plumbing (water heater) CITY OF OSHKOSH No 152367
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1541 PLUMMER ST Owner KENNETH C REINKE ETAL
Contractor GARTMAN MECHANICAL SERVICES Create Date 09/14/2012
- --- --- Category 411 -Residential-Water Heaters Plan
Inspector Jerry Fabisch
Bathtub Clothes Wshr _ Classrm Sink
Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray _ Exam Sink
Sterilizer Soda Dis
pool -- P Wtr Sewer Mtrs
Whirl
P Sump Pump F Prep Sink RPZ Valve Coffee Maker
Lavatory San Sump/Pump FIr/Wst Sink Bidet Ws Usage Mtrs
----
--- Site Drain Misc.
Toilet ----
Water Softner
Hand Sink
Urinal Fixtures —
wait.St.
Kit Sink Stand Rec
P Lab Sink
_--- Beer Tap Ice Chest
Gar Drain Disposal ---
P n
Plaster Sink —--
— — _ Dip Well Comm Ice Maker
Dishwasher Local Waste — Scuiry Sink Drink Ftn
Floor Drain Int Grease Trap _
Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin
Water Heater 1 Eye Wash Statn
Use/Nature OSFR/REPLACE 40 GALLON GAS WATER HEATER **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1304640000
Valuation $790.00 Plan Approval $0.00 Permit Fees
$25.00 Permit Voided)
Issued By
Date 09/14/2012
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 520 W SOUTH PARK AVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530_
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.
Sep. 14. 2012 9: 41AM GMS INC No, 0256 P. 1
�°�
Ci ty of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh,W154903-1130
Phone:(920)236-5050
Fax:(920)236-5084 CfHKO '1--I
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 Codc,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
I ou are a .ntra t.r .ar 'ci.atin. ', the P-rm't F•_ Account System andjjpve adequate Funds, check here
-,-- ••this ,, rrerre.•Yhrou• our-ac ,rent- /: --_._..._. ._...
**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 ZS-I/7 P/v,,,, ,-- Value( lud;nc labor and materials) 9TV�'O Date 9/YA
Owner ��.-A bet /Q>'s.-,- Contractor //,a
ogle Family QDuplex OMlulti-Family []Rental UCommercial OJ<ndustz-iai
•
Number of Fixtures:
13aibwb Disposal Dunk Pm Catch Basin
Whirlpool Dishwasher Wait SL Wash Pm
1-a`EtolY Sump Pump lce Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res_Sink Water Saner Seu Sink Soda D'�
P ry
Bar Sink Local Waste Hand Sink. Coffin Makes
Wateleater Clothes Walir F Prep Sink Comm.lee Maker
lamas 01sleetO PwrVnt Bidet
5ery Sink Site:Drain.
Shower Beer Tap ]nt Grease Trap Roof Drain
Floor Dram Classnm Sink
Pat Lndry Tray Pat Grease Trap Standp Rim
Surgeons Sink R.P.Z.Valve Bye Wash Stn
Lab Sink Breakrm Sink
Shame Sink Wtr Sewer Mfrs
Plaster Sink Dip Well - Flr/Wst Sink Deduct Meters
Sterilizer
Hose Bibs
M War Usage Mfrs
Fixtures
Electric Contractor(for projects not requiring an EIV Form) /✓I/4
Use/Nature of Work /c,. p t
Sizc Material Type /I Conn..Type
Sanitary Sewer
Storm Sewer +
Water Service
Received Time Sep. 14. 2012 9: 38AM No. 0845 07/0.7