HomeMy WebLinkAbout0155804-Plumbing � CITY OF OSHKOSH No 155804
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2852 MONTCLAIR PL Owner LORI T ANDERSON Create Date 05/24/2013
Contractor WUNDERLICH PLUMBING LLC Category 410-Residential-Interior Plan
Inspector Jerry Fabisch
Bathtub 0 Ciothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 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 1 San Sump/Pump _ 0 FIHWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fix'tUres
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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
Water Heater 0
Use/Nature FR/Basement Remodel'Including full bath and a recreation room.
of Work
Size Materiai Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1331640000
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j
Issued By Date 05/24/2013
In the performance o 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+� �L ��%�=� Date ,� ����`/�
AgenUOwner
Address W9879 STATE ROAD 96 FREMONT WI 54940 -0000 Telephone Number 920-850-8508
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.
Citv of Oshkosh
Inspection Sen•ices Di�•ision �
P O Box 1130 �
Oshkosh.�'�'I 54903-1130
Phone: (9?0)336-5050
Fa�: (930)236-5084 HK I 1
ON THF WATFR
Plumbing Permit Appiication
I hereby apply for a permit to do and install the follo�ring plumbing ou the premises hereinafter described,the�vork to conform to the
�L'isconsin State Plumbing Code,in the perfonnauce of�t�hich all parties hereto agree to and are bound b�•said statutes.
• Application(s)and fee(s)can be broueht to City Hall,Room?OS or mailed to Inspection Sen•ices,PO Bos 11?8,Oshkosh�Z'I
54903-11?8. Commencing�t•ork�vithout permit(s)«-i11 result in fees being doubled or 5100.00 plus the normal permit fee,�s•hich
e�-er is ereater.
OR
IJ1•ou are a contr•acror pa�-ticipating ira r1�e Pef•mit Fee .�ccoirnt Si•srem ar�d hai•e adec�trate fi�r7ds check Ire�•e
if,}•ou �ca�1t thisprocessed through rour accou�tr 1-I
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor ar Homeowner(for installations allowed to be performed by the homeowner)must be submitted
wfth the permit application. Applications submitted without an EIV when such is required,will not be
processed for Permit Issuance and will be returned for completion.
Job Address L�Z ��w�G��v ����Vatue�tndna�ngi���am�cm�5� �1�� °�� Date 5-Z`l—��
Owner �'� ���Sa� Contractor VJ►n�d[t.�.����.�- (� �ww..�i u�..
❑Single Famih• ❑Dnplex ❑�tulti-Famil�• ❑Rental ❑Commercial Industrial
\umber of Fixtures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shoa•er _ 1 -- San.Sump Pump _._____._ Scullm�Sink _._.__.____ SodaDisp
R'hirlpool ��'ata Softrner Sm-ice Sink Coffee\41Q
La��azon� � Standpipe Rec Shamp Sinl:
I'oi1M _L__ Gazage FD Surgeons 5nk \�'aius Sm
Kit Sink Local\Caste Stailizer Ice Chest
Disposal Baz Siak _--._-_ RPZ�'alce _____,_ Comm Ice\4aka
Dishn•asher BrealQm Sink Bidet Int Grease Trap
F���� Classrni Sink lrinal ExtGrease Trap
Hose Bibb Esmn Sink Beer Tap Eve R'ash Stn
�i'aztt Heazer F Prep Sink Dipper��'ell Deduct\[Mer
Gas Elect P«t�'nt Floor Sink Drink Fnm \L'tr Setis�er�1tr
_ _ _ _ _ ._
Clothes��'shr Hand Siuk �\'ash Futu \l'tr i:sage�iu
Lndrv Tra}• Lab SinSc Cazch Basin viisc Fixtures
Electric Contractor(for projects not requiring an EI�'Form)
I:se/\ature of�V ork
Size Alaterial Type _ Conn.T��pe
I
Sanitan�Se�ver
Stoim Se�ver
�R'ater Ser�•ice
C6/G5