The URL can be used to link to this page

Home My WebLink About0154022 - Plumbing (water heater) CITY OF OSHKOSH No 154022 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 710 JACKSON ST Owner STAR PROPERTIES OF OSHKOSH LLC Create Date 12/21/201.2 Contractor JOHN D RANSOM Category 411 -Residential-Water Heaters Plan Inspector Jerry Fabisch Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet - 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher - 0 Local Waste 0 Sculry Sink 0 Drink Ftn _ 0 Int Grease Trap 0 Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 1 Use/Nature DUPLEX/REPLACE GAS WATER HEATER **debit Kitz&Pfeil acct of Work _I Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1005270000 Valuation $599.00 Plan Approval _____ _ $0.00 Permit Fees $25.00 ❑ Permit Voided] Issued By 6-Mt/ Date 12/21/2012 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 W5056 PARADISE LN FOND DU LAC WI 54935 -9662 Telephone Number 920-922-1987 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. RI. DEC_ 21. 2012 12: 26 PM KITZ&PFEIL OSHKOSH _ FAX No, 920 236 3348 P. 001/001 • City of Oshkosh Inspection Services Division P 0 Box 1130 ED . Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 C rHK H • • ON 1T1F.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 13ox,1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or 5100.00 plus the normal permit fee,which ever is greater. • OR If you are a contractor Participating in the Permit Fee Account,vstem and have adequate funds, check here jfyou want this processed through your account R 4-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 ETV when such is required, will not be processed for Permit Issuance and will be retained for completion. GO • Job Address '7i 0 ✓ a C)< -0 n Value(Including labor and materials) Cj Date I -I— • Owner +c,∎r PV-'0 e-e T ke- S Contractor To v`(Ra yl SD'C'Z- ❑Single Family •• 'Juples ❑Multi-Fancily ❑Rental ❑Commercial ❑industrial • Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain . • Shower • San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe 12ec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waits Sin . • • IC.it Sink Local Waste sterilizer • Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher 13reaktm Sink . Bidet Int Grease Tap Floor Drain Class=Sink - Urinal Ext Grease Trap Hose Bahl, Exam Sink Beer Tap Eye Wash Stn Water Heater )4—' . F Prep Sink Dipper Well Deduct Meter leas 0 Elect D PwrVnt Floor Sink Drink Frith Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fn n Wtr Usage Mtr • • Lndry Tray • Lab Sink • Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work - re4 \o.{,e. GLo ( 1p/clk / \ck-.ems • [77 ************* Size Material Type # Conn.Type Please use Sanitary Sewer the Storm Sewer Ritz & Pfeil Acct! Water Service Thank you, • Chris 06/09 Received Time Dec. 21. 2012 11 : 18AM No. 1975 -