HomeMy WebLinkAbout0154300 - Plumbing (water heater) CITY OF OSHKOSH No 154300
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1622 COVINGTON DR Owner NICHOLAS E HOCK Create Date 01/30/2013
Contractor GARTMAN MECHANICAL SERVICES Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
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 Flr/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 SFR Replace gas water heater.
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1317120000
Valuation $750.00 Plan Approval $0.00 Permit Fees $30.00 [1 Permit Voided]
Issued By ,J ■ Date 01/30/2013
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 520 W SOUTH PARK AVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530
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.
IJan. 29. 2013 1 : 06PM GMS INC
City of Oshkosh
Inspection Sery Division
P 0 BOX 1130 No, 2968 P. 1/1 ob
ices
Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084 Of-K0f1---1
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 thc
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and arc 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 fe;which
ever is greater.
OR
•
are a antra or••a jai.a : in ,e p•a 't - Account System &rid have adeauter. re
i ou 14) ithi ,rocev -d th-•u:h •ur ac aunt
"Advi4Ory.-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the Eleetdeal
Contractor orMineciwner(for installations allowed to be performed by the homeowner)must be submitted
-
with the permit application. Applications submitted without an ETV when such is tegeired, will net be
processed for Perinit Iti.rrance and Will be rrznOci for cOMpletion.
0 0
4.9b Address ,.. .. 1 _ Wiiiiii Value(Including labor an materials) 150 J Date 1 la6 l'
'Owner . PiggiWM., 11r: Al - Contractor
Single F.Oilly e • -•
ED5uPlex 0Multi-Family Rental DCommercial DIndusirial
Number of Fixtures:
Bathtub DisPosal • Drink PM Catch Basin
— — ___
Whirlpool Dishwasher Wait St. With Pm —
Lavatory Sump Pump lee Chest Urinal _
-- ___
Toilet /lector/Grind Exma Sink Gar Drain
___ ,_
-,
Res.Sink Weizn-Samar Scuhy SinIc Soda Disp —
Bar Sink Local Waste Barra Sink Coffer MACT _
-T-
irFaisieater Clothes Wabr _ ___
—
F Prep Sink Corma.ice Maker _
—
0 Elect 0 PwrVut
Bidet ____ &Iry Sink — Site Drain
—
Shower Beer Tap ____ —
Int Grease Trap RoorDrain
Floor Plain
Classrm Sink • Est Grease Trap l*ill?14c _
—
Laiary Tray
Surgetais Sink 41.13.Z.Valve Bye Wash Sin —
__ ,—_
Lib Sink
nieakim Sink . ,
Shamir Sink Wit.Sewer)as
— __..7.—
Plaiter Sink
Dip Well *Ma Sink _ Deduct Meters _
Sterilizer
Hose Bibs
Wir Usage Mtrs _
_____
yisc.
Eixtures ....=._
, .
'Electri c.contra Ctor(for projects not requiring an EIV Form) _
.:Use/Nitpre Of Wcirk .. . -. . : • • •: -. •• ,.::-• • - ,: .
. .
Size — Matarial Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Received -lime Jan. 29. 2013 1 : 01PM No. 2196 . .
.i I
:,:%.:...,i..,;:',,-..•':.,;',.:;.....;.;;:-.';;.::•;.. ....?.....Z%:■,k..::: 4,1...i'',i;::. :...':IV:,'.::..t..:-..'.,.-al.:,1,1.,-(::::•-■:7,:::::. ......:.........,‘,.....N,..., . ..... • • - . • .. .