HomeMy WebLinkAbout0157483-Plumbing (lateral for sump discharge) � CITY OF OSHKOSH No 157483
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2025 NEBRASKA ST Owner RIDGEVIEW INVESTMENTS LLC Create Date 08/30/2013
Contractor C SWEETING PLUMBING LLC Category 401 -Residential-Exterior(laterals) 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
Whirlpooi 0 Sump Pump 1 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 G�ease 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 SFR/lateral for sump discharge
of Work
'*'debit acct**
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer 4" Plastic Lateral 1 New
Water Service
Parcel Id#
1401290100
Valuation $500.00 Plan Approval $0.00 Permit Fees $59.00 ❑ Permit Voided',
Issued By �Vy�.. Date 08/30/2013
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 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017 :
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 '
Inspection Services Division �
P O Box i 130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 ���
Fax:(920)236-5084
ON THE WATER -
Plumbing Permit Application
1 hereby apply for a permit to do and instatl 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 s�tatutes.
� 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
1 ou are a contractor artici atin i» lhe Permit Fee Account S ste�n and have ade uate unds check here
i ou wan this rocessed t rou h our a c unt
**Advisory-For applicable projects,an Eledrical Installation Verification(EI�form,signed by the Eiectrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be sabmitted
with the permit application. Applications snbmitted withont an EIV when sach is reqnired,w�l not be
processed for Permit issaance and w�l be retatned for completion.
�„
Job Address Z 4 l. � ��LJ/'�5��/ VaIUe(Including labor and materials) c506 Date �— 2-G��.3
Owner �G� � T/� `� Contractor- ,�� -j�--<< � i,,,.-
❑Single Family ODuplez �Multi-Family ❑Rental ❑Commercial �Industrial
Nnmber of Fiztures:
Bathtub Sump Pump � Plas[u Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whidpoo► Water SoRener Service Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Cmrage FD Surgeons Sink Waitrs Sm
Kit Sink I.ocal Waste Sterili2er Ice Chest.
Disposal Bar Sink RPZ Valve Comm Ice Maker
D�shwashei Breakrtn Sink Bidet Int Grease Trap
Floor Drain Ciassrtn Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Bcer Tap Eye Wash Stn
Water Heater F Prep Sink Dippa Well Deduct Meier
❑Gas 0 Elect 0 PwrVnt Floor Sink Ihink Fnm Wv Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mu
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form) �� :
Use/Nature of Work��..�c��� �v i 5:.� �.v c��� �� � -`.� c
Size Material Type # Co
Sanitary Sewer
Storm Sewer AU G 2 9 2013
Water Service DEPARTAtE�7 OF
C0�9�tU\ITY DEV �1 VT
INSPECTIO�SERVICES Dl�')S1Q'V
06/09