HomeMy WebLinkAbout0155709-Plumbing (interior) � CITY OF OSHKOSH No 155709
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1218 WINNEBAGO AVE Owner HABITAT FOR HUMANITY OF OSHKOSH INC Create Date 05/20/2013
Contractor JIM'S PLUMBING&HEATING INC Category 410-Residential-Interior Plan
Inspector Jerry Fabisch
Bathtub 1 Clothes Wshr 1 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 1 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 1 Gar Drain 0 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 1 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 for new house
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0203570000
Valuation $5,500.00 Plan Approval $0.00 Permit Fees $108.00 ❑ Permit Voided I
Issued By ��� Date 05/20/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenVOwner
Address W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920-757-5258
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pertnit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
U5/17/Z013 14:56 FAX 920 757 6482 JIM'S PLUMBING �J001/001
C.IIV {);t_'S�lt:'v5I1
Ins��eciic;� Cervices Division
1' 0 Box 1 1'+0 �
t_i�i:kos.lz, j,\'I �;90_,-I I�C) �
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Plumbing Permit Application ON 7HF WATFR
! herei�.,;:i;�pi}• for a rcru�iY lo do a�lp i:u�a}I t,ie follo�vin�plumbi:���c�r:tne}?remises herein��fter described, the�r�ork to confortn to the
'��'i;con�in titate I'lumbin�Co�e, in ;;e perf�i-nlar�ce nf�vi�i�F ,i3� ;�a;ties l�ereto agree to an,1 a;•e Luunci by said statuces.
� �`�€'l� ;�:`����j��i�d Pee(sj can L�. bio�_i;t:o City F(all, Room^(i� c�t i;ir�tled to inspeclion Service_-, P�J T3ox I 128,Oshkosh «'1
`�`�t1, 1 a 24 Commei�cing���or'h �ai?i�o�.�t permit(sj��ill result an `_�s��ei��g doubiec3 ar$I Ori.(i0 plu;tl�e noiTnal permit fee,���hich
�v:=r t� ��eater.
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�' 1�'+)!l . � - .p;]11'CICIp/' tl!'l!(';?-,,';11� :l7 I�1C i�C:l'/711� f"c'e' .'c�C:);J171 :S�V.SIt-:1?I i111(� �?ill>:' ;I;I�e[ ]fC1lE' lIi7C1S C�7E'CR %9N/'E' .
!i 1 ,!i.t �.a.t. !!i1S 1'YGC�SS�[I fI7Y�'t'la;� 1'�Tll' C1CC(>tt7i/ �
�� Advisor�� - For a�plicable proJects, an Elect�'ical Instaltation t�'erifzcatioit(EIV) form, sigY�ed by the Electrical
Corin���ctor or Honleownex�(for instalt�tions allowed to be �aerfoiYned by the homeo�c�ner) must Ue subinitted
�4�ith tl�e pez7nit application, �ppticatio�is subn�itted witk�ouT au EIV when sttch is t•eqizired, wiII not be
��rocessed for Permit Issuance and «�iI}be rettirned for coit3pletiori.
�f)�) .�(�C�i'E5S /� G.../t �'�,v c..c..«,�.�'� �a 7 ,
- a.+ ��-•t•�f. �'i1�U� (fncinu�n_ ,.?:i�r,t�•dnriterials)�'�..�`�"�_�, Date S�f!%!/ �
(}��ner �•���r.,�"_ C'aniractoz• �....�i;� lMf� � �,,.�� �
,�f�L > -�+'�-•c_..
��4i�t�te Fa;liilti� ❑D»ple�: ;_J;�Iuiti-T�amil}' �RfIlf�ll Co�t�t��ercial
❑�i1dilSt!'la�
:�timl�ec• of itittures:
:;,�rhtt�l-: �_ Swnp P::mii t �;-.,:
_._..�_ f'„_,�_r.tiini; RoofDrain
�h:;,,��, �__ S�ut�;e;;;�;.";tn;n ....:ii�r� S;nl�:
`-Yl)tri,,:.;,::; �;•.
• - Soda Disp
� G. Ucr� .....,�r ._ _ ,_...,e S.nk Coffee h4kr
L,��;uor, .,_E_ Standuipc R�e ____ S`,',F�,,�;itk
;
• i Site Dr�in
l"��iicl ,.e
�_ (i�rar �D ____ �u;eeonsjink WaitrsSln
r:.it_�;,�: .. . �
� Loeaii 1?i::ste _ ',;enii�er
_ Ice Chcsc
��i , ,;al !.� 13or Si.-:k f?;-. ,r�
�--- - - � Comm Ice M�ker
f.issh.c;i.��,,� � l3reak!..:>i,;,, r, -
:. ' �. —�— ,�� _ lnt�ircose'I'rap
,
f inor i��r,:r:i _��_ Clascr;r<Sir�•; ^.__ ,.,..,ai G�t cJreate Trap .
�:�.., i3i,.� L.-- i:�tint,`:,.•:� .._.. ':i;� f yc VJash Stn
��.r�.,,<..; i F Pre,��:,:�;
__.�_ ,•..— ':� , r `✓ell Deduct�vftter
��ls: i-I��;�,YwrVnt f=1o��rSi��:k -.:�.��n:,;
---°- " 1i`tr Sewer Mlr
::lntii.:',;_... �� i lard�,::k i
. .._ �`�:,sa f i�!n �'tr Usngc h1tr
�..n;!;,, `ra. Lab Sir.k _..__. _�,._�.;?.ssin
- �, Misc Fixtures
l;;lect�•ie C'otitraetor (for l�rc�jects uot requiriz�� �n I,TV T''arn�)
1:5e / �latuz-e o#'��'�rl:
' �ize �:i:if�l-18, T;�,e , Cunr,. Tvpc
�at:i,,�t� Se•..�r
5i0fli; 1�'}::vj'
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