HomeMy WebLinkAbout0153239 - Plumbing (replace bathtub) CITY OF OSHKOSH No 153239
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 680 W 9TH AVE Owner CHAD C/DAWN A GLAMANN Create Date 10/29/2012
Contractor DRUCKS PLUMBING&HEATING CO INC Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
Bathtub 1 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump/Pump FIrIWst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait.St. Fixtures
Kit Sink 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 Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb 1 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use/Nature SFR/REPLACE BATHTUB AND FROST FREE HOSE BIBB **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0601310000
Valuation $3,900.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 1,-)
Date 10/29/2012
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 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number 426-2654
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.
CT-29-2012 09:55A FROM:DRUCKS PLUMBING (920)722-0651 T0:2365084 P.1
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
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 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 '
If you are a contractor participaling in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account Il
**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 (alb w 4(16 Value(Including labor and materials) 390() Date to f.q/h,
Owner (.had GAO mann Contractor DIuLtS PluvikloVrt
(]Single Family ['Duplex ❑Multl-Family ERental ❑Commercial ❑Industrial
Number of Fixtures: 50b -�v �h✓k a�4- Nov 104`1,_ t , 7,612,
Bathtub __ — Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waits Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal Ext Grease Trap
Hose Bibb X Exam Sink Beer Tap Eye Wash Stn
Water Heater F Prep Sink Dipper Well Deduct Meter
0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fran Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fran Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Min Fixtures
•
Electric Contractor(for projects not requiring an EIV Form) hok II__,,
Use/Nature of Work Krp,?f¢ �1 lob 4nd -cp,s4- {_ei hok /9121
Size Material Type , # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09
Rece ived Time Oct. 29. 2012 9: 52AM No. 1439