HomeMy WebLinkAbout0156227-Plumbing � CITY OF OSHKOSH No 156227
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1127 S WESTFIELD ST Owner MATTHEW J/ALLISON E HORTON Create Date 06/04/2013
Contractor C SWEETING PLUMBING LLC _ Category 412-Res-Interior(New/Relocated Fixtures) 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
Whirlpooi 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 1 Standp Rec _ 1 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 1 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 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature ;SFR/Remodeling the kitchen to include new cabinets,countertops and flooring. No walls are being opened.
of Work
"'debit acct**""
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1309230000
Valuation $800.00 Plan Approval $0.00 Permit Fees $36.00 ❑ Permit Voided;
Issued By ,��'1� Date 06/17/2013
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
Agent/Owner
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, 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 specifed 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�,ofo��n - _ RECEIVED
r�a«�s��n�� �-
P O Bmc 1130 �
Oshkpsh,WI 54903-1130 J U N 12 2 013 �
Phone:(920)236-5050
Fax:(920)236-5084 �et�-ax��a�E�r oF �f I a\O�
CO�t\tU�iTY!)EVELOP�IE /�
� IN�PECTI(Z�SE1+1'iCES Di�'1SI0.V ON THE wATER
Plumbing Perrnit Appl�cat�on
I hereby apply for a permit w do and'mstsll the followmg pl�bing on the premises hereinafter d�bed,t�wark to co�m to the
. wiscansin State Plumbing Code,in dbe pe�fanmance of which all parties herebo agree to and are bound by said s�aoes.
• ,�,li�s)a�a see(s)caa be u�lrt to city xatl,Room 2os or mailed to In�tian services,Po Box 112s,oshlcosh wI
54903-1128. Cam�cing watk vvtthoirt permit(s)will resalt m fees bcmg cionbled�S 100.00 pi�s the normal permit fee,which
ever is gire�.
OR
�vou are a contractor�cinating in the Permit Fee Acco�cnt Svstem and have adeauate {unds, check here
�vou want thfs grocessed thror�Qh voYr account I� -
**Ad�visory-For ap�plicable pmjeds,aa F.le�rical In�on Veenis�icsbion(EI[�form,sign�ed b�tl�e 8te�cical
Co�'ar Ha�acowncr(foz m�tiafit�allowal to be pada�m�ed by t�re h�nuoow�ecr)�st be�
with the permit application. Applicatiio�sabmitted withoat an EIV wh�n sach is reqa�+ed,w�l not be
processed fior Permit�SSaanae and vr�l be n�ta�ed for oomplebion.
Job Address5,. w'c_���lc� f,� � 1 Valne��m,a��s� �V o°J Date b'��1—l•3
Owner Contractor " �-.5 4�°�-f'�y /�f6S- L ( �-
�Single Fam�y ODaplez OMulti-Family ORental []Commercial �Indnstriat
Number of Fiztures: �
s� s,��r r�s� x�n�
stww�cr . sao.s�p/Am�p saillar s;nk soda Disr
Whiripool Wamx SoReaa Service Siak Coffee MIQ
���Y � gt�P�pe g,oc � . S6amP Sink Sibe Diain
Toilet Ga�FD Surgcons Smt Waihs Stn
Kit Smk � I.ocal W� S�iliar ��
�p�( Bar 3iok _ RPZ Vatve Comm I�x Mataa
Dishw�ha � BreaiQm Smic Bidet Iat G�e T�
FiootI)cain
Classcm S'vdc Urim1 ��T�
FIase B'bb Exam SiNc Bcc Tap Ey�Wash Sm
W�cr Hcata F Prep Sink DiPpa wd1 �M�
0 Gsa O Elect�PovrV� g'�g�k Drudc F� Wtr Seart Mtr
G7oth�Wshr Aand Sint Wagh F�n Vf�'t1s�e Ma'
Ladry Tray Lab Sink Caocb Basin Misc Fi�s�s
Electric Contractor(for prnjects not reqniring an EIV Form) ^
Use/Natare of Work /��� ��-�-���` � �
Size Materiai Type # Conn.Type
SanitarY Sev�'ez
SLOrm 3ewer
Water Service
06/09