HomeMy WebLinkAbout0156297-Plumbing (water heater) � CITY OF OSHKOSH s2s�
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER �-�'13 �yr�c,J
JobAddress 2745 F HAVENWOOD DR Owner L�L19N� �J M�}���ynl i BUI?USON Create Date 06/19/2013
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
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FldWst 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 Locai 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 1
Use/Nature FR/replace water heater
of Work
"'debit acct""`
1
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1632024000 :
Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided �
Issued By Date O6/19/2013
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.
� CITY OF OSHKOSH No 156297
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2745 HAVENWOOD DR Owner THE HOMES OF HAVENWOOD VILLAGE XI Create Date 06/19/2013
Contractor DRUCKS PLUMBING 8�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
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Vaive 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
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 Ext Grease Trap 0 :
Hose Bibb 0 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature SFR/replace water heater
of Work '
""debit acct*" �
I I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer 4
Water Service
Parcel Id#
Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By T� Date 06/19/2013
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 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.
JUN-19-2013 01:2aP FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.2
2337� �
City of Oshkosh •
Inspection Services Division �
' P 0 Box 1 t30 � �
� Oshkosh,W!54903-1130
� �lione:(920)236-SO50 • �
Fax:(920)236-5084
• • ON H ATEN
Plumbing Permit Application
I hereby apply for a permit to do and instnl!the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin Stnte Plumbing Code,in the performance of which all parties hereto pgree to and are bound by said statutes.
� Application(s)and fee(s)can be 6rought to Ciry Hall,Room 205 or mniled to Inspection Services,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
I[vou are a eonrracror parlicipnttng �n rhe Permfl Fee Accounr Svslem and have adeguate funds`check here
j,Lvou wan� Ihis processed through vour account (�l
*'"Advisory-For applicable projects, an Electrical Installadon Verification(EI�form, sigued by tIie Electrical
ContYactor or Flomeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the penuit application. Applications snbmitted withont an EIV when snch is required,wi11 not be
processed for Permit Issnance and will be retarned for completion. _
JobAddress Z-1YS �.V@�► Wo�O�,�Y: VaIUB(fncluCingleborandmnterials) (0�0 � Date '�4'�3
Oivner car' I w� guNtSo-v Contractor �rv�KS ���6�
�inglc Fnmily Duplex ❑Multi-Family ❑Rental ❑Commerci�l Industrtal
Number of Fixtures:
Bathwb Sump F'ump Ptaster Sink Roof Drain
Shower San,Sump/Pump Scullery Sink Soda Disp
Whlrlpool Water Soflener Servia Sink CofTee Mlcr
Lovatory Slandplpe Rec Shomp Sink Site Droln
Toilet O�ge FD Surgwns Sink Wsitrs Stn
Ki�Sink Local Wastc Stuilizer Ice Chest
Dieposnl ,Har Sink RPZ Volve Comm Ice Meker
Dishwnsher Breakttn Sink Bldet lnt Grease Trep
Floor Drain Clessrm S lnk Urinal F�ct Grease Trnp
Hose 8ibb Bxam Sink Bur Tap Eye Wash 5tr�
Wa u Healer � F Prep Sink Dipper Well Deduet Meter
�Get 0 Elect p PwrVnt Floor Sink Drink Fnm Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usege Mtr
Lndry Trey Lab Sink Cetch Hnsin Misc FixWrca
�
�+ �� ,
Electrlc Contractor (for projects not requiring an EN Form)
Usc/Nature of Work
Size Material Type , # Conn.Type
Sanitary Sewer
Storm Sewer
Wuter Servico
06/09