HomeMy WebLinkAbout2013-Plumbing (water heater) � CITY OF OSHKOSH No 156778
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1040 MARICOPA DR Owner FRANK A ZUERN Create Date 07/18/2013
Contractor M P KELLY Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
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 0
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 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. 0 :
Toilet 0 Water Softner 0 Hand Sink 0 Urinai 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 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature ,SF�replace*water heater �
of Work
'*ck#12807*
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1312920000
Valuation $1,245.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �� Date 07/18/2013
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 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
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
co�tinue if the inspection is not performed within two business days from the time the project is ready.
e ■ • �����/ �• _� � :
City of Oshkosh � �A�N STR EET
Inspection Services Division g 6� N. 5 49�f n
POBox 1130 �(�SC• �
Oshkosh,WI 54903-1130 0 S H KO S H,
Phone:(920)236-5050
Fax:(920)236-5084 ��
ON THF WATFR
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to confotm to the
Wisconsin State Plumbing Code,in the performance of which all 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 Inspecrion Services,PO Box 1128,Oshkosh WI
54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal pernut fee,which
ever is greater.
OR
If vou are a contractorparticipating in the Permit Fee Account Svstem and have adeguate funds, check here
i(vou want this processed through your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Contractar or Homeowner(for installations allowed to be perFormed by the homeowner)must be submitted
with the permit applicadon. Applications submitted without an EIV when such is required,w�71 not be
processed for Pernut Issuance and�vill be returned for compledon.
Job Address � a y o 1 ��1:�� VRIUC(Including labor and materials) �� / v ���' Dat�/� ��
Owner
�i1l,CZ�(,K ZL�Q��I`. Contractor ��' C� VE�
`�S'e�gle Family ❑Duplez ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
JUL 18 2013
Number of Fixtures:
Bathtub Sump Pump Plaster Sink Roof Lh�ppRT11E\T�_
�CQ�����\iTY DEVELOPIIEVT
Shower San.Sump/Pump Scullery Sink i�,� OV SER�'ICES�IIT�'i510.V
Whirlpool Water Softener Service Sink Coffee Mla
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Gazage 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 Ezt Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Sta
Water Heater 1 F Prep Sink Dipper Well Deduct Meter
�Gas O Elect[1 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Cbthes Wshr Hand Sink Wash Fnm Wtr Usage Mtr
��'Y T�Y Lab Sink Catch Basin Misc Fixritres
Electric Contractor(for oject n quiring an V Form)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
�� /
Water Service
06/09