HomeMy WebLinkAbout0155728-Plumbing (interior) � CITY OF OSHKOSH No 155728
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 560 FARMINGTON AVE Owner CHADD HUISMAN Create Date 03/25/2013
Contractor C SWEETING PLUMBING LLC 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 2 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump
Lavatory 3 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. �
Toilet 3 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 1 Standp Rec 2 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
Fioor Drain 1 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 2 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 '
Water Heater 1 Backwater
Use/Nature NSFR/Plumbing associated with the construction of a new house
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1252330300
Valuation $7,000.00 Plan Approval $0.00 Permit Fees $189.00 ❑ Permit Voided j
Issued By � Date 05/21/2013
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
AgenbOwner
Address 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017
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.
c��,�� RECEIVED
�n services nivls��n �
P O Bo�c 1130 �
Oshlmal�,�VI 54903-1130 MAY 2 0 2013
Phana:(920)Z3fr5050
F�7c=��0�Z�6'SOH�Q DEPARTIIE�T OF
- - COM�tUViTY�iEVELOP�tEVT ON THE WATER
Plumbing Permit A��i��o�ES DR'ISIOY
I�'Y�PP1Y f�a permit to do and'mstaD 8x followmg pL�bing aa tl�e pt�miaes�de�xi'bed,tLe w�ark tu c�m tn tl�e
Wisooa�sin S'ta�e P'hmmbmg Code,in t�re peif�oe of�rhich all p�artiea lx�to ag�oe to agd�a bo�md by said�s.
• ppplicafiia�(s)and�ee(s)tx�t be�to tyty Hatl,R,00m 205 a�mailed to Inspec0ian Servioes,PO Box 1128,Os�OO�h WI
54903-1128. Ca�ac'nmg work with�rnrt pe�mit{s)w�l result m�oes being doubled uc S1U0.00 pba ttee n�ormal primit�oe,which
ever is grea�.
�R
Ifvot� a�e a contractor na�tic�at�ng in the Permit Fee Acco�cnt Syatem and have adeaxate fu�ds. chec� here
f vo� ivant this proccaaed thros�gh yoxr accoxnt � ,
**Ad�iaa�-Fa��pp�ble p�+aJec�s,�n F.leetriwl I�Y�dfieatio�(BI'V)fn�m,siga�ed by the Fdec�irai
Co�od�ae Hu�ow�er(for�i�s aIIowed ta be�edv�mod b�tl�c bo�eow�ar)�st be�
wrth t�e P�nit�- APPli�o�sabm�ed�vitLout�a EIV'WLea wch is irqao�ed,w�l�ot be
proaeaaed f+u�Pernrit�SOanoe an�d w�i be retumod fnr oo�iaa. :
dob Addr�esa .�60 tu��,•�,,�,,.� Vatue(t�aoa�w��a�� ?�� °" Date S— �'—�3
Owner G�4� f1�;s.y��,.- Coniractor . G�-�-4-�.�.
�Single Fam�y ODtP1RZ (�M�lti-Famdy �ReafiA1 �Comme�l �I�dast�iai
Number of I�iatares: � :
B�Mtdn �_ s�P�n � Pl�er srok xoo�ntria
sno�r �_ sao-� s�y s� soa`n�
w6irlpool w�cr so5eoc s«vux smk ca�ee l�a
lava�o�Y �� �dpipe Rx _�` S6�P Smk S�e Ika�
T�a :}�� c,�Fn s��os s�c w�as�
xus� � �w� � �aw�c
ni�osat / sar srot xrz vatve ea�I�e Mdox _ ,
� / Bnai�S�t Bidet I�t�e�se Tiap
Floar Dnin � (�m Smt Urimi SR(ieme Trap
Hase B�b 1 T9[am Smt Bar Tap Bpe Wa�Stn
Wa6�r FI�e�Oer �_ F A+ep Smt Dipper Well Deduct M�da
QG�as 0 Hact 0 PwrV� Flonr Smic DtmkFi� V[►�Sewer Mtr
cxmea ws� � x�a s�t w�r� w�rt�ea�r
�r�r�r �s�t c�a� ��-m�
��r�K w•�.f.,,. vp���
;lectric Contractor(for project�s not requir�g an EIV Form)
�se/Natnre of Work � _. __ _
- Si�e Maberial T`ype # Ca�nn.Type
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Sturm Scwer
waeex s�
06/09