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Home My WebLink About0156585-Plumbing (interior) t s � y /�'� CITY OF OSHKOSH No 156585 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3880 SHOREBIRD CT Owner KEITH ZIEBELULUANN DEBRUIN-ZIEBELL Create Date 07/03/2013 -------- --- — --- - Contractor LARRY HANSEN PLBG Category 412-Res-Interior(NewlRelocated Fixtures) Plan Inspector Jon Mueller Bathtub 1 Clothes Wshr 1 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 ; Shower 2 Lndry Tray 2 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump 1 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 5 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 4 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 ` Disposal 1 Gar Drain 2 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher 1 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 1 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 4 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 1 Use/Nature FR/NEW CONSTRUCTION/plumbing associated with new home *'check#24533 — — ___ of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1281550000 Valuation $12,710.00 Plan Approval $0.00 Permit Fees $243.00 ❑ Permit Voided ', Issued By Date 07/08/2013 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 N-1044 TOWER VIEW DR GREENVILLE WI 54942 -8683 Telephone Number 920-757-6863 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 speci�ed 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. i Wentz, Sandra From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us] Sent: Monday, July 01, 2013 9:48 AM To: Inspections, Inspections Subject: PLUMBING Permit Application . PLUMBING PERMIT APPLICATION Date:7/1/2013 9:47:31 AM Permit Fee Account System: NO 388C� Job Address: �e�-#5�•Shorebird Ct Owner: Keith Debruin Contractor: Hansen Plumbing, Inc Use Category: Single Family FIXTURES Bathtub: 1 Sump Pump: 1 Plaster Roof Sink: Drain: Shower: 2 San. Scullery Soda Sump/Pump: Sink: Disp: Whirlpool• water Service Coffee ' Softener: Sink: Mkr: Lavatory: 5 Standpipe Shamp Site Rec: Sink: Drain: Toilet: 4 Garage FD: 2 Surgeons Waitrs Sink: Stn: Kit Sink: 1 Local Waste: Sterilizer: Ice Chest: Comm Disposal: 1 Bar Sink: �lVe. Ice ' Maker: Breakrm Int Dishwasher: 1 Sink• Bidet: Grease ' Trap: Floor Classrm Ext Drain• 1 Sink• Urinal: Grease ' ' Trap: Hose Bibb: 4 Exam Sink: Beer Eye Wash Tap: Stn: Water 1 F Prep Sink• Dipper Deduct Heater: ' Well: Meter: i E Drink �'tr Gas Floor Sink: Fntn• Sewer ' Mtr: Clothes Wash wtr Wshr: 1 Hand Sink: Fntn: Usage Mtr: Lndry 2 Lab Sink: Catch Misc Tray: Basin: Fixtures: *USE/NATURE OF WORK New construction *VALUE 12710.00 ELECTRIC CONTRACTOR Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 2 '` � City of Oshkosh �'1�'D Inspection Services Division �� P O Box 1130 ) � Oshkosh,WI 54903-1130 � �(1 1 t 0.� � Phone:(920)236-5050 q "� � � , � � / 1 Fax: (920)236-5084 � � � � ��3 O HK� H � ON THE WAFER Plum ' Permit A I' 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 all parties hereto agree to and are bound by said stahztes. • 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$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor participatin� in the Permit Fee Account System and have adeguate funds, check here i�,vou want this processed zhrough vour account n **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address �7� � 55 `��C��rA��, VdIUC(Including labor and materials) ��•� Date 01��'� Owner K�►�'�, �e�1�1�t-t.n Contractor �r��G(1 �l�t1ti��(c _ �-hL. �$ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub I Sump Pump ( Plaster Sink Roof Drain Shower � San.Sump/Pump Scullery Sink Soda Disp Whirlpool � Water Softener Service Sink Coffee Mkr Lavatory 5 Standpipe Rec Shamp Sink Site Drain Toilet ! Garage FD �_ Surgeons Sink Waitrs Stn Kit Sink � Local Waste Sterilizer Ice Chest Disposal ( Bar Sink RPZ Valve Comm Ice Maker Dishwasher � Breakrm Sink Bidet Int Grease Trap Floor Drain � Classrm Sink Urinal Ext Grease Trap Hose Bibb � Exam Sink Beer Tap Eye Wash Stn Water Heater � F Prep Sink Dipper Well Deduct Meter �'Gas�Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr ( Hand Sink \�Jash Fntn Wu Usage hftr Lndry Tray � Lab Sink Catch Basi❑ Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work f�� S'�'1'1,e C�l (jl�, Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09