HomeMy WebLinkAbout0156819-Plumbing (water heater) � CITY OF OSHKOSH No �sss�s
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2520 H HAVENWOOD DR Owner CLARA E SCHULTZ Create Date 07/22/2013
Contractor GARTMAN MECHANICAL SERVICES 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 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 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 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature 'CONDO\Replace NG water heater
of Work �
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Size Materiai Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1631002300
Valuation $750.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided�I
Issued By �,� Date 07/22/2013
In the perFormance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner ,
Address 520 W SOUTH PARK AVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Jul, 22, 2013 11 : 11AM GMS INC No. 6334 P. 1
� �
City of Oshkosh '
Tnspection Services Divi�aon �
P 0 Box 1130 �
Oshkosh,Wl 54903-1130
Phone:(920)236-5050
Fax�(920)236-5084 O �O I--I
QN 7Hh WAf�R :
Plumbing Permit Application
1 hereby apply for a permit lo do and install thc foI(owing plumbitlg on the premiscs hereinal�er described,the work to conform[o the
Wisconsin Statc Plumbing Code, in the pertormance of whicfl all parties hcrcto agree to and are bound by said statutes.
• Appliealion(s)a��d fee(s)can bc brough[to Ciry Hall,Room 205 or mailed[o Inspection Serviccs,P013ox 1126,Oshkosh WI
54903-1128. Commencin�work without permit(s)will result in fccs being doubled or$I00_00 plus the nocmal permit fee,which
evcr is grzAldr. :
OR
/�vou are u conlraetnr�articapatinQ in jhe Permit Fee Account S►!stem and hnve adegaiale �unds, check here
if vou want lhis aro es,`ed tlerot��h vour account n
**Adwisory-For applicable projects, an Electrical YnsWUallon Verification(E�foxxn, signed by the Electrieal
ContXactor or Homeowner(for iuustallations allowed to be pctiformed by the homeow�cr)mnst be submilted
with tb�e permit applicati.on. Ap�rlicarions snbmitted witb�out an EN when such is re�nired,will not be
processed for Pe=mit Issaance a�d will be retnrned for conn�t�ction. � I
�U � ��� � �
�+ rob AddKess �'�Z 0 �`��R��� �a�u�(►ncluding labor and ms�crisla) �� ' DstC
C��r,-bw S c,l��.r-I'2_ r.�z, u�:�F�-�- �C�tra o r C�"iv1 � , ��n c ,
�ng1e Eamily ODup[ex ❑Multi-Tamily ❑Rental ❑Commercial ❑Industrial
1`
Number of Fixtures:
[laihlub Sump Poinp Plas�e+'Sink _ Rqpf Drein
S6uwer s�.s��mvm��,n Scullery$ink Spds Diap
Whidpool Wa�er Soflc��cr Servicc Sink CoFfcc Mkr
Luv'�toty Si�►ndpipd Rec Shamp Sink 5ilc Drain
'1"oilol Gurage L�D Surgeons Sink _,. Waivs Stn
Kii Sinl: �.owl W,uie Sierilize� rcc Chcs�
Di9posul liur Sink RPZ V�lve Comm Icc Makcr _____
Uishw'�sh2t ���Sink Bidef �„! tnc('ircaac Trap _„^
l�loor Dnin Clessrm Sink Uriaal Exl Gte�cTrsp --—
Hoec L3ibb E.�cam Siok Oerr Tap Eye W3sh Sm
C�a f{�l� N Yrep Sinl: Dipper Well DeduC[Mcett
as G Elcct fl PwrVnc Nloor Sink �rink Fn1�1 Wt�Scwcr M�r
oches Wshr Hand Siol: Wa�6 Fnu� Wlr Usagc M�r
�-++drY�1��Y Lab Sink C:atch Dosin Misc Fixlures
Electric Contractor(for projects aot requiring Au EIV Form)
Usc/Nature of Work
Sizc Material Type # Conn.Type
Sanitary Sewer
Storm Szwer
Watcr Se►vice
06/09