HomeMy WebLinkAbout0156393-Plumbing (new fxts & stack repair) � CITY OF OSHKOSH No 156393
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1243 MERRITT AVE Owner DIAN PASQUINI Create Date 06/26/2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 410-Residential-Interior Pla�
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrtn Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 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 3 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 3 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 1 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature SFR/new fixtures and stack repair
of Work
'"debit acct"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1100920000
Valuation $12,000.00 Plan Approval $0.00 Permit Fees $81.00 ❑ Permit Voided;
Issued By ��� Date O6/26/2013
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.
-26-2013 07:50A FROM:DRUCKS PLUMBING C920)722-8651 T0:2365084 P.1
233�yy
c�ry ofost�osn .
Inspection Services Division �
' P 0 Box 1130 ' �
� �� Oshkosh�WI 54903-1 1 30
�tione:(920)236-5050 • •
Fax:(920)236-5064
Plumbing Permit Application ONTHF. ��R
1 hcreby apply for a permit to do nnd install Q�e f�llowing plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code, in the performance of tvhich all pnrties hereto agree to and aze bound by said statutes,
• Application(s)i►nd fee(s)cnn be brougl�t to City Holl,Room 205 or mailed to Inspection 5ervices,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greuter.
OR
It vou are a conlractor parl�c�pnfing !n �he Permll Fee Accounr Svslem �nd have adequn�e,funds, cfreck here
��vou want �his processed lhrouPh vour accoun! n
"*Advisory-For applicable projects, an Electrieal Installation Verification(EI�form, signed by tlie Electrical
� Contractor or Homcowncr(for installations allowed to be performed by t�e homeowncr)must be submitted
with the permit application. Applications snbmitted witlioat an EIV wben snch is rcquired�will not be
processed for Permit Tssuance and wi11 be retumed for completion.
JobAddress �Z'13 �er!"�'�"� VAIUC(Includinglaborandrtnterials) ��Zi��� Date �C�ZS^13
�
Owacr Co r�;rv� ��1U��1dqNl�Contractor ��S :
❑Single Famlly �Duplex ❑Multi-Family ❑Rcntal ❑Coininercial ❑Industriul
Number of Flxtures:
Hathwb Sump Pump Plester Sink Roof Dr�in
Shower _� Sen.Sump/Pump ScuQery Sink Soda Disp
Whirlpool Water Sotkner Scrvice Sink CotTee Mkr
Lavatory 3 Standpipa Rcc Shemp Sink Site Drein
Tollet _,� Oarngc PD Surgwns Sic�k Wafvs Stn
Kit Sink Local Waste Slerilizer lce Chest
Dlsposal Bar Sfnk RPZ Velve Comm!ee Maker
Diahwasher `Breokrm Sink Hidcl (nt Grease Trep
Floor Drrin Classrm Sink Urinal Ext G�ease Trnp
Hoso Bibb _� Exnm Slnk Bar Tep Eye Wash Stn
Wa r Hwter � F P[ep Slnk Dipper Well Deduct Nieter
�Gss 0 Elect 0 PwrVnt Floor Sl�k Drink Fnt� Wtr Sewa Mtr
Clothcs Wshr Eland Sink Wuh Fntn Wtr Usege Mtr
Lndry Tr�y � Lab Si�ilc Cotch Basin Misc FlxWrcs
,, �� S�t CK RcPa-N — ` .
Electric Contractor(far projeets not requiring an EIV Form)
Use/Nature of Work
Size Material Type _ # Conn.Type
Sanitary Sewer
Storm Sewer
WAtCf$CNICC
06/09 ,