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� CITY OF OSHKOSH No 156423
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER I_ _13 �
Job Address 3100 ELK RIDGE DR#C Owner MIDWEST GENERAL CONTRACTORS Create Date 06/21/2013 ;
__ —_ _ — . ,
Contractor SBS PLUMBING LLC Category 412-Res-interior(NewlRelocated Fixtures) Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr _ 0 Classrm 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 3
Whirlpool 0 Sump Pump 0 F Prep Sink _ 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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 OMM/Basement remodel for unit C. Creating a bedroom, bathroom, living room and 2 unfinished areas for a
of Work mechanical room and storage area per submitted plans. No alterations made to existing beams/supports. Bathroom
ill have mechanical ventilation installed. Smoke and CO detectors will be installed. Egress window in place already.
eparate electrical,plumbing and HVAC permits will be obtained. If alterations will be made to the sprinkler system
hat information will be provided. All construction shall comply with State and local codes.
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1329610202
Valuation $2,100.00 Plan Approval $0.00 Permit Fees _ $30.00 ❑ Permit Voided �
Issued By Date O6/27/2013
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 4635 RED FOX RD OSHKOSH WI 54904 -7784 Telephone Number 920-410-5933
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 156423
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3100 ELK RIDGE DR Owner MIDWEST GENERAL CONTRACTORS Create Date 06/21/2013
Contractor SBS 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 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 Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. p 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 COMM/Basement remodel for unit C. Creating a bedroom,bathroom, living room and 2 unfinished areas for a
of Work Imechanical room and storage area per submitted plans. No alterations made to existing beams/supports. Bathroom
Mrill have mechanical ventilation installed. Smoke and CO detectors will be installed. Egress window in place already.
ISeparate electrical,plumbing and HVAC permits will be obtained. If alterations will be made to the sprinkler system
�hat information will be provided. All construction shall comply with State and local codes.
-
i
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
Valuation 2,100.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By f� Date 06/27/2013
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 4635 RED FOX RD OSHKOSH WI 54904 -7784 Telephone Number 920-410-5933
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.
;
S
Wentz, Sandra
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Wednesday, June 26, 2013 2:05 PM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:6/26/2013 2:05:21 PM
Permit Fee Account System: YES
Job Address: 3100 ELK RIDGE UNIT C
Owner: K DECKER BUILDERS
Contractor: SBS PLUMBING
Use Category: Single Family
FIXTURES
Bathtub: Sump Pump: Plaster Roof �
Sink: Drain:
Shower: 1 San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool• water Service Coffee
� Softener: Sink: Mkr:
Lavatory• 1 Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: 1 Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice Chest:
Comm
Disposal: Bar Sink: V�IVe. Ice
Maker:
Breakrm Int
Dishwasher: Sink• Bidet: Grease
� Trap:
Floor Classrm Ext
Drain• Sink• Urinal: Grease :
� � Trap:
Hose Bibbt Exam Sink: Beer Eye Wash
Tap: Stn:
Water F Prep Sink• Dipper Deduct
Heater: ' Well: Meter:
i
i
Drink Wtr
Floor Sink: Fntn: Sewer
Mtr:
Clothes Wash �'�'tr
Wshr: Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fixtures:
*USE/NATURE OF WORK FINISHING BASEMENT BATH
*VALUE 2100
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type .
Sanitary Sewer
Storm Sewer
Water Service
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