HomeMy WebLinkAbout0156982-Plumbing (water heater) � CITY OF OSHKOSH No �ssss2
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1349 WINNEBAGO AVE Owner KRISTIN K VIELBIG Create Date 07/31/2013
Contractor DRUCKS PLUMBING&HEATING CO INC 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 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
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 'SFR/replace water heater
of Work
"debit acct'*
�
Size Materiai Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0206630000
Valuation $1,070.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided;
Issued By�V� Date 07/31/2013
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 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number 426-2654
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.
-31-2013 08:18A FROM:DRUCKS PLUMBING C920)72z-0651 T0:2365084 P.1
2345/3
City of OshkosM
Inspcction Scrvicea Division �
P O Box F130 1
Oshkosh,WI54�3-1130 `'
Phone:(920)236-SOSO
Fax:(920)23(r5084
N M WAT R
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 all parties hereto agrce to and arc bound by said statutes.
� Application(s)and fee(s)can bo brought to City Hall,Rvom 205 or mailcd to inspection Serviccs,PO Box 1128,Oslilcosh 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[vou are a contractor narticinatinP in tlre Permi� Fee Acco�rnt Sys�enr and have adequate j�rnds. clieck liere
if vou want this processed tbrouph vour acco�urt I-1
**Advisory-For applicable projects, an Electrical Installation Verificadon(EI�form, signed by the Electrical
Contractor or Homeowner(for installadoas allowed to be performed by the homeowner)mnst 6e snbmitted
with the pernut application. Applications snbmitted withoat aa EN whea snch is reqnired, will not be
pmcessed for Pennit Issuance aad will be retarned for completion.
Job Address 13yg GuF,.��eba�o Acac. Value(i�ci„a��¢iabo�unama�er�is� /070 "= Date 7'3�'�3
Owner kr1sF�N Vtelb�Ng Contractor �✓'�'�5
�Single Family QDuplex ❑Multl-Family ❑Rental ❑Commercia! ❑Industrial
Number of Fixtures:
Bathlub Sump Pump Plas�er Sink Roof Drein
Showa San.Sump/Pwnp Scullery Sink Soda Disp
Whirlpool Woter Solirner Service Sink Coffx Mkr
Lavatory S�undpipe Rec Shamp Sink Site Dcnin
Toilel Qareb�e FD Sur�eons Sink Waitrs Stn
Kit Sink Local Wesle Starilizer Ice Chest
Disposal Ber Sink RPZ Velve Comm Ice Maker
pjqhw,qqry� Brculcrm Sink Bidat Int Grcnse Trnp
F1oor Dcnin Cla.csnn Sink Urinal Exl G�ea3B Trap
Hose Bbb Exam Sink Beer Tap Eye Wach Stn
Water Heater � F Prcp Sink Dipper Well Deduct Meter :
1'G�as Elcet t-.PwrVnt Floor Sink Drink Fn�n Wa Sewer Mtr
Cbthw Wshr Hund Sink Wash Fntn Wu Usu�e Mtr
Lndry Trny Lxb Sinlc Ca�ch Besin Misc Fixlures
Electrie Contractor(foc proJects not requiring an EN Form)
Use/Nature of Work
Size Material Type #t Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09