HomeMy WebLinkAbout0154875-Plumbing (interior) � CITY OF OSHKOSH No 154875
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3341 MOCKINGBIRD WAY Owner RUSCH HOMES LLC Create Date 01/31/2013
Contractor LARRY HANSEN PLBG Category 410-Residential-Interior Plan
Inspector Jerry Fabisch
Bathtub 1 Ciothes Wshr 1 Ciassrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 2 Lndry Tray
Whirlpool 0 Sump Pump 4 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
�avatory 4 San Sump/Pump 0 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 4 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 1 Standp Rec 1 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 1 Gar Drain 1 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher _ 1 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 2 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 2 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature NSFR/interior plumbing associated with the construction of a new home **check#24252
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1336320000
Valuation $14,700.00 Plan Approval $0.00 Permit Fees $243.00 ❑ Permit Voided I
Issued By �� Date 03/28/2013 :
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address N-1044 TOWER VIEW DR GREENVILLE WI 54942 -8683 Telephone Number 920-757-6863
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�►' � �e d �1.�-r�c- 3I2 3�13
^itv af Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshicosh,WI 54903-1130
Phone:(920)236-5050 u
Fax:(920)236-5084 �—�
oro�rr�•wnteR
Plumbing Permit Application
I h�bY�lY for a pe�mit�o do and install the foilawing plumbing on the pmexnises h�nafta described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)can be brought to CityHatl,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI
549Q3-1128. Commencing work without pem►it(s)will result in fees being doubled or$I00.00 plus the normal permit fee,which
ever is greater.
OR
If vou are a contractor.partic�ating in the Permit Fee Account Svstem and have ade�uate funds. check here
if vou want this processed through vour account I-1
**Advisory-For applicable projecfs,an Elecdoical Installation Veri6�catiion(EIV)fomy signed bp the ElectcYCal
Contractor or Homeowner(for installations alloveed to be petformed by the homeowner)must be sabmitted
with the peanit appliration. Applications sabmitted withont an EIV when sach is reqaired,w�71 not be
p�c+ncessed for Penmit Tssuaace and w�71 be retonued for completion.
Job Address 33 y� � M��S�pr d �Value(�iva�,g►�or�a�s� � �1�•C-� Date 3-»'-t 3
�ner �� Contractor —�-�-d.r1Se`1�ta.lY�b�r'n(o �1[ _
Single Family �Duplez QMniti-Family �Rental �Commercial QIndustrial
Number of Fiatures:
Bad►tub �_ Sump Pump � Plaster Sink Roof Drain
Shower �_ San.Swnp/Pump Scullery Sink Soda Disp
Whiripool Water SotTener Servia Sink Coffx Mkr
Lavatory �"1 Staadpipa Rec �_ Shamp Sink Sibe Drain
To�1et � Garage FD �_ Swgaons Sink Waitrs Sm
Kit Sink �_ Local Waste Sterilizer Ice Chest
Disposal �_ Bar Sink RPZ Valve Comm Ice Maker
D��b� �_ Brealum Smlc Bidet Int Gmsse Ttap
��� �_ Classnn Sink Urinal Ext(3rease Trap
Hose B�b _� Exam Sink Bcer Tap Eye Wath Stn
Water H� f F Prep Siok Dipper Weil Deduct Me�er
�'Gas 0 Elax❑PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
C�a�W� � Hand Sink Wash Fnm Wtr Usage Mtr
LndTY 7��Y �_ Lab Sink Catch Basin Misc Firiutes
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work ��CUYIS"�'UC� �'�l
Size Material Type # Conn.Type
Sanitary Sewer
SWrm Sewer
Waber Service
06/09