HomeMy WebLinkAbout2013-Plumbing (water heater) CITY OF OSHKOSH No 155093
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1220 MARICOPA DR Owner KATHRYN A DIETZ Create Date 04/17/2013
Contractor M P KELLY 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 **check#12657
of Work
Material Type # Conn.T
Size yp Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1313010000
Valuation $825.00 \ Plan Approval $0.00 Permit Fees $30.00 El Permit Voided
Issued By w/} Date 04/17/2013
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 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.
•
•
Storm Sewer
Water Service ,
VGI.. IJ. LVII IV.JUntn1 vi 1 vt ■ vtuSuvn auv. rv. 1d1• ..■• . • 0 I . . .
City of Oshkosh .
Inspection Services Division
P o l3ox 1130 RECEIVED
. Oshkosh,WI 54903-1130 . .
Phone:(920)23:6-5050 .
Pox:(920)236-5004 J> it ifs i APR 17 2013
Ptu bing Permit Application DEPARTMENT OF
COMMUNITY DEVELOPMENT
I hereby apply for a permit to do and install the followingplumbing on the premises hereinitifter described,the work to coniarettorthe SERVICES DIVISION
Wisconsin State Plumbing Code,in the performance of which all pattles 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,P'0 Blot 1128:,Oshkosh WI
54903-1128. Commencing work without perntit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
Over is greater.
OR.
I ,, ea c..i , f, , .; 1 . s.Pe .,11 ' ,. - o_, ':,S - u _ ' !..e.: ill:'S 1 to .
ifyou Want this.Is ac.geed.f ra:iri.,vovl'.,account •
>rx Ativiaoq-For applicable projects,an Electrical Installation Verification(Ern 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 enErV when-such is required,will.not be
processed for Penult Ytisasutance'and will be returned for completion. ,
Job Addr. I 1 / ' C- a1ue Einoluding•laborandmaterials) VI�/C(), Date .�
VIIF `
Contractor Z. :-•
`j; - .gie • . t,ily ri.uplex ❑ •r ti-Family ['Rental []Commercial ■Industrial
Number of Fixtures:
Bathtub Sump Pump ,�„_r_- Plaster Sink RoofDrein „__„__
Shower Stns SumplRump Scullery Sink Sods Disp
Whirlpool Water Softener Service Sink Coffee Mkt
Lavatory Standpipe Rec Sbamp Sink Site Drain
Toilet enrage FD Surgeons-Sink Walks Sin
Kit Sink _ Local Waste Sterihznr Ice l hen
Disposal - Bar Sink RPZ Valve Comm lee M*er
Dishwasher • grealttm Sink .Bidet Inl Orease•: ep
Floor Drain Cbssan Sink ,,__;__ Urinal _„_ Litt Crease Trap
Hesse Bibb Burn Sink Beer Tap Bye Wash Stn
War Heater- P Prep Sink _ Dipper Well Deduct Meter
�� a Pct OttirrVnt }door Sink Drink Finn Mr Sewer Mb
Clothes Wshr fflnd Sink Wash Pntn Mr us*Mk -`.
Lndry'rey Lab Sink Catch-Basin Mite11W Wares _.,_,_,
lectric Contractor(i:or pro-eels notire i i;�`'itng n • Fofm) •
to 1 Nature of'Work A I f.. > - �!
•
Size Material Type # , Conn.Type 7'
Sanitary Sewer 0
•
Storm Sewer •
Water Service
.06/09