HomeMy WebLinkAbout0154912-Plumbing (water heater) � CITY OF OSHKOSH tvo 154912
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 185 FARMSTEAD LN Owner GREGORY B MONDAY Create Date 04/02/2013
Contractor DRUCKS PLUMBING&HEATING CO INC 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 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. Q 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 Serv 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 WATER HEATER "*debit acct
of Work
I ,
I
J
Size Material Type # Conn.Type
Sanitary Sewer :
Storm Sewer
Water Service
Parcel Id#
1528810000
Valuation $1,819.00 � Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided i
I
Issued By �,^-� Date 04/02/2013
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 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.
-2-2013 0z:45P FROM:DRUCKS PLL�IBING C920)722-0651 T0:2365084 P.1
City of Oshkosh .
Inspection Services Division ' • �
' P 0 Box 1130 •
• Oshkosh�WI 54903-1130 �
�'lionc:(920)236-SOSO -
Fax:(920)236-5084
� ON ATER '
Plumbing Permit Application
1 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.
• Applicetion(s)and fee(s)cen be brought to Ciry Hall,Room 205 or mailed to lnspection Services,PO Box 1128,Oshlcosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus tha norcnal permit fee,which
everis greater.
OR
If vou nre n contractor narliclnaling fn !he Permll Fee Accoun! Svstem and hove adeguate funde check here
iLvou want �his nrocessed Ihrou�h vour account I-1
**Advisory-For applicable pmjects, an Electrical Installation Verificatton(EI�form,signed by the Electrical
Coatiactor or Homeowner(for installadons allowed to be performed by the homeowner)mast bc sabanitted
with the peimit application. Applications snbmitted without an EIV when sach is reqnired, wi71 not be
pmcessed for Permit Issuance and will be retamed for completion.
Job Address ��5 F4��"'�5��dd �N� VAIU@(Including lebor and meterials� I 8l 9 ='- Date y-2-l3
Owner C*�.�.� ,�,•�o..��(v., Contractor 4rvct�s p�v,,,�,�,�
�ingle Fnmily []Duplex ❑Multi-FamI1y ❑Rental ❑Commcrcial
DIndustrial
Number of Fixtures:
BathWb Sump Pump Plester Sink g��pm�
Shower San.Sump/Pump Sculkry Sink Soda Di�p
WBldpool Woter SoRener ServlceSink Cottee Mkr
[.evatory Stnndpipe Rec Shnmp Sink Sito Drain
toilet Qaroge FD 5urgeons Sink W�tr��
Kit Sink Locel Wssto 5terilizer Ice Chest
Disposal Bar Sink RPZ Velve Comm Ice Mnka
Dishwashw srenkrtn Sink Blda Int C3rwe Trap
floor Drain C���S� Urinal �(}r��T�
Kose Bibb Exnm Sink Bcer Tap Eyo Wah Stn
Water Heeter ___J_ F Prep Sink Dipper Well ��� .
D�bn O Plat j/''PwrVni Floor Sink Drtnk Fno► Wtr Sewm Mtr
Clothes Wahr Hend Sink Wash Fntn WU Umae Mtr
Lndry TroY Leb Sink Catch Batin Mlsc Atxnircs
�,
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Siu Material Typc , # Cocv�.Type
Sanitary Sewer � �
Storm Sewer
Water Service �
06/09