HomeMy WebLinkAbout0156361-Plumbing (water meter) /� CITY OF OSHKOSH No 156361
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 331 E IRVING AVE Owner PAUL B SMITH Create Date O6/24/2013
Contractor D.R. HANSEN PLBG. Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jerry Fabisch
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 1
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. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinai 0 Wait.St. � 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 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature DUPLEX/adding another water meter to split water distribution for each tenant
of Work
�
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel id#
0403880000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided !
Issued By ��� Date 06/24/2013
In the performance of this work, I agree to perForm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�
F
City of Oshkovh
Inspection Services'Divis�on
POBox1130 �
Oshkosh,WI 54903-I 130 �
Phone: (920)236-5050
Fax:(920)236-5084
K H
Plumbing Permit �ppii�ation ON THE WnTEIt
I hcreby�pp�y�'or a permit to do and install the followjng plumbing on the premices hereiq�cr described,the work to conform to thc
Wisconsin State Plumbing Code,in the performancc of which all parties hereto agree to and arc l�und by said atetutes.
� APp»���on(s)and fce(s)r,an be brought to City Hall,Room 205 or meiled to In�pCCtion Scrvicos,PO-Box ��2g,pshkosh Wr
54903-t)2g. Commeneing work without permit(s)will result in fees being dpubled or$l Op.00 plus the normal permit fee,which
aver i5 grc�tcr, ,
� OR
Il vov are ,a co ract ar ict lin� in lhe Permi! Fe Ac
� oe�H�a�t /_h�rc nro s lhr h �r a Coun1 �`��"�t�'S1en' °nd hov Qdeouale fun, s c tec„k 1���•��
**Advisory-For applicable projeccs, an Elech�ical In�stallation Veri�catirna
Contxactrnr or�omeow�ex�(for mstabatious allowcd Co be pez�oimed by the biomeow�er)�nst be snb�mittecdnical
witi�tbe pexmit appUiea.tion�. Applicabions snbna�ittcd without a�a EZV w�en snch.is te�uired, will not bc
�roc�sscd for�e�mit Ls.ana�ace a�ad w�ill�be retiwnacd foz co�aplet�ion. v
Job Addr�as � �G�/, � )� '
Value(IncludinY labnrend Alttialc) �O V 6 4'� /�
Owner �QJ� Sn�;�l- Datc
Contractor � ,� ��� C
�Sinfile Farrai�Y [�buple� []Multi-Fami�Y [JR�ntal
❑Commercial �.Y�dustrial
Number of Fixhues;
Bachlub • Sump Pump
Showcr P���5i�
Snn.Sump/Pump Roof Dra;n
Whi►I ool 5cullcry Sink •
[�valu Wdla Cpflcner 3Ctvicc Sink Sodp Dir� ��`
ry Standpipe RcC Coffee Mkr
Toilc� — 5�p Sink ';
OoraRa TD Sitc Urain E
SurRepns Sink Waitr¢Stn
kil�ink L.�cul Wesle
DiSpoaul ~^ ����� Icc Chaat
Ciar Sink Rf•'z Vnlvc
�ishwnshw l�rcakrm Sink �~ �-- Comm lcC Mnkcr ~
Floor prain $idG ,_� Int Grciesc Tmp
Cletuarm Sink Urin11 �—
H��sc Bibb Exnm Sink ' �M arce�ac Trt�p
Wetcr Hceta P Prop 3ink �T�p Eyc Wnch 5ui `
ll Cis�U Elect f7 PurrVnt —"— ��I•'P�T Wcll beduct Mcicr
FloorSink Drink Fntn
Clothaa Vyshr Hand Sink • W«�WCr Mn `
Lndry Tny __^ �.. . W�slt En6n �. WIr I lsagc Mtr
[..ab Sink Catch 1�asin —~� '--
Misc�ixtut�
E�ectnic Contracror(;for projects not requiring an EIV Forrr�)
Use/Nutu re ot Work � 1 l�� �
S�� Matcris) �� �
S���ry Scwer •� - Conn.Type :-
Storm,ycwer
Watcr Scrvicc
G6/U9