HomeMy WebLinkAbout0104106-PlumbingOSHKOSH
ON THE WATER
.lob Address 528 W SOUTH PARKAVE
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner M & I MARSHALL & ILSLEY BANK
Category 410 - Residential-Interior
No 104106
Create Date 09/11/2003
Plan
Bathtub 0 Shower 3 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 3 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 3 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Remodel.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $5,000.00 Plan Approval $0.00 Permit Fees $54.00 ~ Permit Voided
Issued By
Date
09/11/2003
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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
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
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 528 W SOUTH PARK AVE Owner M & I MARSHALL & ILSLEY BANK
Contractor SOPER PLUMBING
Category 410 - Residential-lntador
Bathtub 0 Shower 3 Ejector/Grind 0 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 3 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 104106
Create Date 09/11/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 lnt Grease Trap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 EyeWash Statn 0
0
0
Use/Nature SFPJ Remodel.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
Valuation $5,000.00 Plan Approval $0.00 Permit Fees $54.00 [] PermitVoided~
Issued By
Da~ 0~11~003
In the performance of this work, I agree to perform all work pursuant to rules governing the descdbed construction.
White the City of Oshkosh has no authority to enforce easement rastdctions 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 h~lder(s) a~ secure any n~sary approvals before star~ing such activity.
Signature~J ~.~J~ ~.~.~..~_..._---- Date
~ -- ~ f Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
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 pe~ormed within two business days from the time the project is ready.
City of Oskkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O./HKO/H
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which ail parties hereto agree to and are bound by said statutes.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed 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£¥ou are a contractor participating in the Permit Fee Account System and have adequate £und& check here
i£¥ou want thix processed through Four account
Job Address ..5'-.~P talk .50, ~,,~t~. Value (lncludinglaborandmaterlals~ Date
Owner Contractor ,...~ _x'q~ ~j~,.,e_j ~
[~Single Family [~Duplex [--]Multi-Family [~]Rental [~Commercial ~]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory ~ Dishwasher Drink Fm Catch Basin
Toilet ~ Sump Pump Wait. St. Wash Fm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
[] Gas [] Elect O pwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower ~ Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink R;P.Z. Valve Eye Wash Sm
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitaxy Sewer
Storm Sewer
Water Service
OR
[~Electric Installation Verification form attached
(If Replacement)
Size
Material Type # Conn. Type
7/03