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