HomeMy WebLinkAbout0155490-Plumbing (water heater) � CITY OF OSHKOSH No 155490
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3895 SUMMERSET WAY Owner JOEY G/BECKY L HEINZL Create Date 05/07/2013
Contractor MERTEN PLUMBING&HEATING 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 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � 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 FR/REPLACE GAS WATER HEATER **check#11910, 11914. i
of Work
i
I
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1527360000
Va�uation $795.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided �i
Issued By ���— Date 05/07/2013
�
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 1087 COZY LN OSHKOSH WI 54901 - 1404 Telephone Number 231-6795
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.
City of Os6kosh
Inspection Services Division �
P O Box i 130 �
Oshkosh,WI 549Q3-1130
Phone:(920)23�5050
Fax:(920)236-5084 O HKO H
O^i iNp WATFR .
Piumbing Permit Application
I liereby apply for a permit to do end install the following plumbing on the premises hereinafter described.the wark to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
� Ap�lication(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Ostilcosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or 5100.00 plus the normal permit fee,which
a+�is g�eater.
OR
If vou are a conlractor narticipatinQ in the Permit Fee Account Svstem and have adequate funds check bere
if vou want this orocessed through vour account n
*'�Advisory-For applicable projeds,an Ekctrical Installation Veri6cation(F.IV)form,sigined by thc Flectrical
Contractor or Homeawner(�or instzllations allowed to be�erfarmed by the homeowner)mast be s�bmitted
With the peanit application. Applicatiions sabmitted wrthont aa EIV whea sach is reqaired,w�71 not be
p�ocessed for Permit Isssanoe and wig be reta�ned fnr completion.
Job Address d vn 1�� Valne��►�a;�g►��a�c�s� S e� Date
Owner Z Contractor , p
�Smgle Famity �Dapiea OMulti-Family ORental OCom ercial ndustrial
Number of�tares:
Batluub Sump Pump Plaster Sink Roof Drain
S�� San.Sump/Pump Scullery Sink Soda Disp
Whir►pool Water SoRena S�vice Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site[hain
Todet Cmrege FD Surgeons Sink WaiUs Stn
Ki[Sink I,ocal Waste Steriliax Ice Chzst
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher B�S�� Bidet Im Grease Trap
Ftoor Drain Classrm Sink Urinal E�ct Grease Trap
Hose Bibb E�S� Bev Tap Eye Wash Sm
Water Heater � F Prep Sink Dipper Welt Deduct Meter
j�Gas 0 Elect�PwrVnt F��g� (k��F�� Wu Sewer MV
Clothes Wshr �-(a�S� Wash Fnm Wtr Usage Mtr
Lndry Tray Lab Sinlc Catch Basin Misc FixNres
Electric Contractor(for projects not reqairing an EN Form)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09