HomeMy WebLinkAbout0153516 - Plumbing (replace toilet) CITY OF OSHKOSH No 153516
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2339 MOUNT VERNON ST Owner JAMES C SONNLEITNER Create Date 11/13/2012
Contractor M P KELLY Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
Bathtub _ 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 FIr/Wst Sink Bidet Site Drain Misc.
Toilet _ 1 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 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use/Nature SFR/REPLACE TOILET **check#12387
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1517250000
Valuation $1,232. 0 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By L —� Date 11/13/2012
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 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
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.
VCb. I.1. 1.V I I IV. /VrHa v 4 I • VI vv II Iw.v S •IIV. VV. "dos ••^ • • ... • •
City of Oshkosh
Inspection Services Division *
P O Box 1130 ' Ii'
Oshkosh,WI 54903-1130 NOV l 2 2 012
Pawner(920)6-505050 ®m_T dim®
Paw.(920)236-5084 . _ .
Plumbing.Permit Application iN LC __.. _.. ,,r,,,,
I hereby apply for a permit to do and install thefolloaiing plumbing on doe 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 2 05 or mailed to Inspection Services,PO Box 1128;Oshkosh WI
54903-1128. Commencing work without permits)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR.
are'a c o, rac I .tart.4, • ';r . n: he Penni F - t.n '.0 s:te ,i d •v. ate funds. eherj het<i
if you want this provesee4 thrrough.your account nt 11
**Atlyisory-For applicable projects,its Eleccrical Installation Verification(Fig)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/in ETV when such is required,will not be
processed for Permit Issuance land will be/retturant returned completion,
�� l I V �'" Ile(Including labor j 'Cti Date t1/4/�_�
Job Addrr� :� � 1:--
Ow�n►e>r J'��- d/1!✓Z, E �i/✓��entraator 0 ,o Z. ,,1,': - .gig Family q riDuplex ❑Multi-Family [Rental (]Commercial IN Industrial
Number of Fixtures:
B*tinub Sump Pump Plaster Sink Roof Drain
Shower Stn.Sump/Pump Scullery Sink Sods nitp
Whirlpool Water Softener Service Sink coine'Mkr
Lavatory Standpipe nee Slump Sink Site Drain
Toilet Garage FD _ Surgeon Sink _-_`-__ Waists Sin
Kit Sink Local Waste Steriliser • fee Chest
Disposal - Bar Sink R1►Z V*tve Comm lee Maier
Dishwasher Breaktm Sink 'Bidet Int MVO
Floor Drain Claasrtn Sink - Urinal Ext Grease Trap
Hose Bibb _ _ Exam Sink Beer Tap Eye Wash Sin
Water Heater F Prep Sktk Dipper Well Deduct Meter
0 On 0 Elect 0PwrVnt Floor Sink Drink Fro Wtr Sewer Mir
Clothes Wshr Hind Sink Wash Fntn Wtr Usage Mk
Lndry Tray Lab Sink Catch Basin Mite Fixtures
:tric Contractor(fop projects not re. ice. • n IV Fo .)
/Nature of Work A _ ::',//i 14r < 4 `
She Material Type # Conn.Type
Sanitary Scorer 45 Storm Sewer • '
Water Service
06/09