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HomeMy WebLinkAbout0152597 - Plumbing (basement remodel) CITY OF OSHKOSH OSHKOSH No 152597 ON THE WATER PLUMBING PERMIT -APPLICATION AND RECORD Job Address 40 SENNHOLZ CT Contractor C SWEETING PLUMBING LLC Owner SCOTIA BERHOLTZ Create Date 09/14/2012 Category 412-Res-Interior(New/Relocated Fixtures) Plan Inspector Jerry Fabisch Bathtub Clothes Wshr Classrm Sink Bathtub — Surgeons Sink Roof Drain 1 Lndry Tray Exam Sink Deduct Set Meters Whirlpool ---- _ Sterilizer Soda Disp Pump F Prep Sink RPZ Valve p Wtr Usage Mtrs Coffee Maker ---- Lavatory 1 San Sump/Pump FIr/Wst Sink Misc. Usage Mtrs Bidet Toilet 1 Water Softner Site Drain Misc. Hand Sink Urinal Wait.St. Fixtures _ Kit Sink -__Standp Rec ---- ---- Lab Sink _ Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dishwasher — ___ Dip Well Comm Ice Maker Local Waste Sculry Sink Drink Ftn Floor Drain Bar Sink _—_- Int Grease Trap _ Sery Sink _ Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Sham Sink — Water Heater p Catch Basin Eye Wash Statn Use/Nature ISFR/Basement remodel*To include a full bathroom,family room and a finished storage. **debit acct of Work Size Material Type # Sanitary Sewer Conn.Type Storm Sewer Water Service Parcel Id# Valuation $2,0 00 Plan Approval 1413203700 - pproval $0.00 -- _- - Permit Fees _ $25.00 ❑ Permit Voided 1 Issued By _-- Date 09/26/2012 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 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017 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. City of Oshkosh 0 Inspection Services Division Box 1 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 01HKOf H Plumbing Permit Application ON THE WATER 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 I ou are a contractor .artici.atin. in the Permit Fee Account S stem and have ade•uate unds check here i ou want this •rocessed throu.h our account F **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed or Homeowner(for installations allowed to be performed by the homeowner)must be submitted cal 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 Lib 34/1 Gtv I 2. Cf Value (Including labor and materials) 2, C'o Date 9-2 5 -/ Z. Owner gGo if b r 4c /4" L Contractor _`_ ````.fin /4 PSingle Famil y [ Duplex [liquid-Family r ['Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump i Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Toilet Shamp Sink Site Drain Garage FD Surgeons Sink Kit Sink Local Waste Ice Ch Stn Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Dishwasher Breakrm Sink Comm Ice Maker Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Water Heater F Prep Sink Eye Wash Stn ❑Gas Elect❑PwrVnt Dipper Well Deduct Meter Floor Sink Drink Fntn Clothes Wshr Hand Sink Wtr Sewer Mtr Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work ,B s4�.,-,f 64..-f-/,z,..,.1 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09