HomeMy WebLinkAbout0155955-Plumbing (water heater) � CITY OF OSHKOSH No 155955
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD �
ON THE WATER
Job Address 1141 ALGOMA BLVD Owner GERALD J STADTMUELLER ETAL Create Date 06/04/2013
Contractor DRUCKS PLUMBING&HEATING CO 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
Whiripool 0 Sump Pump 0 F Prep Sink 0 RP2 Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 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 Eut Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature Replace water heater
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0507130000
Valuation $1,130.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By ��. Date 06/04/2013
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 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number 426-2654
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.
JL�I-4-2013 07:42A FROM:DRUCKS PLUMBING C920)72z-0651 T0:2365084 P.4
i
4,7
City of Osi�fcosh • , �
Inspectlon Servlces Divlsion , �
P 0 Box 1130
� , � Oshkosh�Wl 54903-1130
�'tione:(92U)236-SOSO • •
Fax:(920)236-5084 �
ON HF.WATER
� � Plumbing Permit Application
I hereby apply for a permit to do and instail the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin Stete 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 Ciry Hall,Room 205 or mailcd to Inspcction Services,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus d�e normal permit fee,which
ever is greater.
OR
([you nre a conlraclor�ar!lclpatln.g in Ihe Permil !'ee Accounl Svs�em and have adequate funds check here
�vou wnnt �his fnrocessed lhrouPh vour accoun( n
**Advisory-For applicabie projccts, an Electrical Installation Yerif'ication(EI� form, signed by the Electrical
Con�actor or Homeowner(for insta�lladons ailowed to bc performcd by the homeowner)must be sabmitted
with the permit applicadon. Applications snbmitted witliout an EN wLen snch is requircd, will not be ,
Qrocessed for Permit Issuance and wil(be returned for coinpledon.
JobAddress 1 �_ y����o�o— VAIi1C([ncludinglnbornndmo�erfols) � �30 � Dat� �^ 7��3
Owner C��� S�'°�►^+���<<''Contr�ctor -Or��s P(�bn►+S
�ipgle Family Duplex ❑Multi-Family ORental ❑Com�ncrciaJ QIndustriul
Number of Fixtures:
Bmhwb 5ump Pump Plaster Sink Roof Drain
Shower Snn.Sump/Aump Scu{Icry Sink Soda Disp
���poo� Wa�er Soltener ServiceSink CofCee Mkr
��e��y Stnndpipe Rec Shamp Sink Site Dreln
Tollet Qurege fD Surgeons Slnk Wsitrs Stn
Kil Sin� Locnl Waste Steril¢er Ice Chest
Dleposel Hur Sink RPZ Volva Comm ice Meku
Dbhwashcr ` 9renkrmSink Didet IntGreaseTrap
Floor Drein Classrm 3ink Urinnl Ext G�ease Trap
Hose Blbb Exem Sink Heu Tep Eye Wesh Stn
Water Heeter �_ F Prep Slnk Dippu Well Deduct Meter
�a�OElect 0 PwrVn� Floor Slnk Drink Fntr� Wtr Sewu Mu
Clo�liee Wahr Hend Sink Wash Fntn Wt�Usege Mtr
Lndry Trey Leb Sink Celch Basin Mlsc FtxWra
1, ''
.`
Electrlc Contractor (for projects not requiring an EIV Form) :
Use/Nature of Work
Size Material Type , # Conn.Type ,
Sanitary Sewer
Storm Sewer
Wutcr Scrvicc '
06/09 :