HomeMy WebLinkAbout0152568 - Plumbing (Plumbing associated w/new home) CITY OF OSHKOSH No 152568
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 507 W 6TH AVE Owner DENNIS L RYCKMAN Create Date 09/06/2012
Contractor D.R. HANSEN PLBG. Category 412-Res-Interior(New/Relocated Fixtures)_ 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 1 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 Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain 1 Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb 1 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use/Nature 1NSFR/PLUMBING ASSOCIATED WITH THE NEW CONSTRUCTION OF A HOUSE/EXTERIOR LATERALS WILL
of Work BE INSTALLED PER CODE TO THE MAIN IN THE STREET
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service 1" Plastic Lateral 1 New
Parcel Id#
0600630000
Valuation $6,000.00 Plan Approval __ $0.00 Permit Fees $177.00 ❑ Permit Voided
Issued By Date 09/25/2012
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595 _
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing, Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
atY ofO.thlossh
Impaction .
service$Division
P 0 Box 1130
Oshkosh,WI 54903-1130
Phone;(920)236-5050
Roc(920) OfFIKa/FON THE
1
Plumbing Permit Application
Hamby o to do a ibn on� hereinafter de the wacw roto the .
Wisconsin' State
Code,lathe performance of which all parties hereto agree to and me bound bysard star t
• Application(s)and mss)am be brought to City Eall,Room 205 or mailed to,Iospoction Se vices,PO Box 1128,Oshkosh WI
over Commencing work without permit(s)wollnsalt.in fees being doubled or 5100.00 plus the normal permit fee,which
OR
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en c. �-r ,�. i.at S r_: i.c -g ' :T_u. e
ifyou watt t�3 tirocsed tkrougli vou accasr►i! f1 • it , , g ad. r �,_ ,g e
'Advisory-For applicable projects,am Electrical Installation
Ve rification(EIV)form,signed bYtbe Electrical orHaote»�er to Be oa d. • tie be snumitxel ...
.with the application.
processed for Permit Issuance and will l lbe � uotb�e
Job Addxrss sal . (P4' Jib'_ Value
thOrand nusarigsl 4(rDe,j. CO Rabe 7.
er rich Family 011fflobi-Fmnily EllbuniF hl45, r tt Contractor
Ct Dina
Number ofractu es:
seinoth 1
.
Shower 1 . Sump Pump --1-- Plaster S ok RooED�n
S .SnompfPnwp
arp°°° waRtsa�er sen>telyaiok so�n�
zar1 2 Standpipe lOs Sere=Sink Skimp Sink Toilet ,� Garage FD Site D�min
Toilet Sommer Sink With Sep
Dot Local Wastc Sterilizer Ice Chest
Dldnrwgl a Sink RPLVeloe Com�SIrnt D aher
Bidet to en Map
Urinal �c��,Ho�i� y Ewan
i3cer?rp Eye wad Set
WatfirHeater -J_._ g*ePSink Dipper WI
Qo��W 0PwrYnt Wtr etlVkEei
Floor._ UxiokAolu
• and Sink __ �Or 3awerlMr Wash Leahy Tay 7211 Sink
MmaRi�nes
Electric Cdr(for projects not requiring an PTV Fora)
Use/Nature of Work •
Sin: Mstmml Type ii -
Szmitezy Sewer N 11
ronn.: Type r__.
Stour Sewer
War Service, 1 "
06/09
Received Time Sep. 25. 2012 7:44AM No. 0965