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Home My WebLink About0155886-Plumbing (interior) � CITY OF OSHKOSH No 155886 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2455 SHORE PRESERVE DR Owner SCHMIDT BROTHERS CUSTOM HOMES INC Create Date 05/03/2013 Contractor WATTERS PLUMBING 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 1 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 5 San Sump/Pump _ 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 4 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � 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 associated with the construction of a new residence/all work will meet state and local codes of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1281520000 Valuation $7,493.00 Plan Approval $0.00 Permit Fees _ $189.00 ❑ Permit Voided I Issued By Date 05/30/2013 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 PO BOX 118 MENASHA WI 54952 -0118 Telephone Number 920-733-8125 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. 5/29/2013 WED 14: 12 FAX 920 733 2713 Watters Plumbing �� City of Oshkosh �001/001 City of Oshkosh Inspection Services Division � P O Box 1130 '�1 Oshkosh,WI54903-1130 ' `�� Phone:(920)236-5050 �� ` Fax:(920)236-5084 O HK H ON THE WATER Ptumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without pernut(s)will result in fees being doub(ed or$100.00 plus the normal permit fee,which ever is greater. OR I u are a eontract r arti ' atin in t e Permit Fe Aceount stem and have ade uate unds eheek here i ou want thi rocessed throu h our eccount **Advisory-For applicable projects,an Electrical Installatioa Verification(EI�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 an EN whea such is required, will not be processed for Permit Issuance and will be rehuned for completion. Job Address 2.G'S S �G fe �Y�,Se+�Sllle(Including labor and materials) � �� 3 Date � �Z'�" �� O er �c..�'�YY�'t�1-� ��. Contractor W �� 'P►r,c,m��-vm� ingle Family �Duplex OMulti-Family ❑Rental ❑Commercial �Industrial Nura6er of Fixtures: Bathtub � Sump E'ump �_ PIaster Sink Roof Drain Shower Z- San.Sump/Pump Scullory Sink Soda Disp Whiripool Water Softencr Service Sink Coffce Mkr Lavatory S Standpipe Rec Shamp Sink Site Drain Toilet �_ Garege FD Surgeons Sink Waitrs Sm Kit Sink i Locat Waste Sterilizer Ice Chest Disposal 1 Bar Sink RPZ Valve Comm Ice Maker Dishwasher � Sreakrm Sink Bidet Int Grease Trap Floor Drain 1 C[assrm Sink Urinal Lxt Gceasc T�ap Hose Bibb Z Exam Sink Beer Tap Eye Wash Stn Water Heat�J' �- F Prep Sink Dipper Well Deduct Metcr O Ges a�lect O PwrVnt Floor Sink Drink Fntn Wir Sewer Mtr Clothes Wshr �_ Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Leb Sink Catch IIasin Misc Fixtures Electric Cvntractor(for projects not reqairing an EIV Form) Use/Nature of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service C�- c�� a� � L � ��G� � � I � � �� 06/09