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HomeMy WebLinkAbout0104328 POSHKOSH ON THE WATER ,Job Address 515-585 W PACKER AVE Contractor HANSON QUALITY PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner Anchorage Homes Inc Category 410 - Residential-Interior No 104328 Create Date 08/12/2003 Plan C5-48-0803-P Bathtub 8 Shower 8 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 8 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 24 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 16 Lndry Stndp 8 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Res. Sink 8 Disposal 8 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 8 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 Water Heater 8 Sump Pump 8 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 8 Use/Nature of Work UNIT/New 8 unit condo Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $52,000.00 Plan Approval $0.00 Permit Fees $720.00 ~ Permit Voided Issued By Date 09/22/2003 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 Agent/Owner Address 550 N BLUEMOUND RD APPLETON WI 54914 - 0000 Telephone Number 730-0205 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 1 t30 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Perm 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 a~ee to and are.bound by said itamtes. Application(s) and fee(s) can be brought to Cit~ Halt, 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 $I00.00 plus the normal permit fee, which ever is greater. OR [f you are a contractor participating in the'Permit Fee Account System and have ad'eeuate funds.' cheek her,. i£vou want this processed through vou.r account ~'~ ' Job Address~)_ i~ ~'~C/Co~ ~' Valne(incl,ding,a~ofand.=t~a;s) ~J~.(~ Owner ~Y-~c~SV,~ _ Contractor' 3~ ~) [~Single Family [-~Dup01ex [~Mnlti-Famfly [-]Rental [--]Commercial Date [--]Industrial Number of Fixtures: Whirlpool Disposal / Dip ~ell ~to~ ~ ~sh~h~ / ~nk Fm Toilet ~ Su~ Pu~ / Wait. ~. Sink [ Ej~t~/~nd Ice B~ Sink Wat~ Sofm~ ~ Sink Wa~ H~t~ ) ~1 W~te ~ ~ EI~ E P~Vn/ Scul~ Sink · Sho~er ~ Clo~ Wshr Hand Sink Bid~ F ~ Sink ~r ~in / B~ Tap Si~ Sink CI~ Sink Iht ~e Trap · ~b Sink Su~ns Sink ~t G~e T~ Pl~t~ Sink' Br~ Si~k Shamp Sink Flr/Wst Sink Catch Basin Wash Fin Urinal Gar Drain So~a Disp Coffe~ Maker lee Maker Si!e Drain. Roof 15rain Standp Rec Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer. Water Service O~ ['-]Electric Instalhition Verificati6n form attache~ Corm. Type (if Replacement) Size Material Type. # 3/02 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-$050 Fax: (920) 236-5084 - Plumbing Permit Application '-" I hereby apply for a permit to do aad install the following plumbing on the premises hereinafter descried, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto aeree to and am.bound by said ~tatutes. · Application(s) and fee(s) can be brought to Cit3; 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 you are a contractor participating in the'Permit Fee/tccount System and have ad'equate funds.· check her~ if you want this processed through vou.r account ~ Job Address~L~ ?aC~ ~L~ Owner ~]"~'.~ re, ,'g ~Single Family ~uplex Value (Including Iabor and materials) ~, (~ Coutractor ' ~ p [--]Multi-Family [--]Rental [--]Commercial Date [~Industrial Number of Fixtures: / I. adp/Saaudp Bathtub Whirlpool Disposal Res. Sink / Ejemor/Gfind Wa~r Hea~ea' Local Pl~i~- Si.k Br~-m si:-'.' / ,/ De~L Ope-. Sham~ Sink Dip Well Ftr/Wst Sink Drink Fm Catch Basin Ice Chest Urinal Exam Sink Gar Drain Sculry Sink So~a Di~p Hand Sink Coffee Maker F Prep Sink ice Maker S~rv Sink , . Site Drain. Int Grease Trap Roof Drain Ext Grease Trap Smndp Kec Electric Contractor Use / Nature of Work San/tary Sewer Storm Sewer Water Service Size O-R [--]Electric Installation Verificati6n form attachet (If Replacement) Conn. Type . Material ' Type. Inspection Services Division ? O Box 1 t30 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Plumb,ng Permit o# I hereby apply for a permit to do ~d ~1 ~e follo~g pl~b~g nn ~e pre.es' hereafter descn~e~'~rk to co~o~ Wisco~in S~m Pl~b~g Code, ~ ~e peffo~nce of w~ch all ~es he.to a~ee to ~d ~e. bo~d by said ~mmtes. Applica~on(s) ~d fee(s) e~ be ~ou~t to Ci~ Hall, R~m 205 or ~iled to hspec~on S~ces, PO Box 1128, Os~osh ~ 54903-1128. Co~ene~g work M~out p~t(s) ~11 ms~t ~ fees berg doubled or $100.00 pl~ ~e noel p~t.f~, w~ch ev~ is ~t~. OR If you are a contractor participating in the'Permit Fee Account System and have adequate funds,' check here ~f vou want this processed through vou.r account Job *ddress~ ~C/~ ~ ' Value (ln¢iudinglabor'nd n'ateria~)~,~ (~ Owuer C.traetor' ? ' I-']Single Family [--]D(~ p~-ex [~Multi-Famfly ~-]Rental I--]Commercial Date {'-]Industrial Number of Fixtures: Fm Toilet ~ Su~ Pu~ , ~ WaiC R~. Sink [ Ej~t~/~nd Ica B~ Sink Watg Sofm~ E~m Sink Wat~ Hcat~ f ~l W~ Scul~ Sink ~G~ Z El~t Z ~Vni Showeb ] Cloth~ Ws~ ~nd Sink Bid~ F ~ Sink Flor ~in ] B~ Tap Se~ Sink . ~b Sink ~s~ Sink Iht Gr~ PI~ Sink Surg~ Sink Ext G~se Trap Br~ Sink Stefiliz~ Shamp Sink FldWst Sink Catch Basin Wash Fm Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain. Roof I~ain Standp Rec Electric Contractor Use / Nature of Work San/taW Sewer Storm Sewer Water Service ,O~ [-]Electric Installation VerificatiOn form attachet (If Replacement) Size Material ' Type. # Conn. Type 3/02 City of Oshkosh ' ~C~/~~ Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 ~'fi) o ,~ ' --. ~ Of H pi u m bing W~sconsm State Plumbing Code, in the performance of which all parties hereto a~ee to and are. bound by said ~tarates. the · ApplicatiOn(s) and fee(s) can be brought to Cit3; Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencmg work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR [f you are a contractor participating in the' Permit Fee Account System and have ad'equate funds.' check her. i. f vou want this processed through your account ~ J°b Address ,~-~ ~)c-c~)// //~ Value (~cludin~ lair ~na mt~m /~D~fj'O~ (.X~ Date Owner J~-,cJ~ ~v I ~_~_. Contractor ' ~ ~ ['-]Single Family [~uplex [--]Multi-Family [-]Rental ['-]Commercial ['-]Industrial Number of Fixtures: ~vato~ ~ ~sh~h~ , / ~nk F~ Cash Toilet ~ Su~ Pu~ / Wait. SC W~h Fm ~. Sink ~ Ej~l~/~nd Ice C~t U~nal B~ Sink Wat~ ~f~ ~m Sink ~r ~in Water Heat~ ~2 EI~ E P~Vn{ ~l W~ Scul~ Sink S~a Di~ Sho~r / Clothes Wshr ~d Sink Coffee Mak~ H~r ~n / Bidet F ~ Sink Ice Mak~ B~ Tap Se~ Sink Sile CI~ Sink Int ~e T~p ~f~in . ~b Sink Su~ns Sink Ext G~e T~ S~n~ Pl~t~ Sink B~ Sink Electric Contractor Use / Nature of Work [-]Electric Installation Verificatidn form attachet (If Replacement) Sanitary Sewer Storm Sewer Water Service Size Material Type, # Conn. Type 3/02 Inspection Services Division . . ' P O Box 1130 Oshkosh, WI 54903-1130 /17.~..~ ~,' Phone: (920) 236-5050 Plumbing Permit Appl]~{~?~ I hereby apply £or a permit to do and install the £ollowm~ plumbing on the premises hcreinaEter desire work ~o conform to the Wisconsin Stoic Plumbin~ Code, in the peffornmnee of which all par~es hereto a~¢e to an~ am.bound by sa~d · ^pp]ic~tm(s) =ha ~(s) c~n bc t~ou~to city mn, ~oom ~0s or ~ileU ~o ~$pe~on Scmces, Oshkosh WI $4903-1125. Con-mncnc~g work without permit(s) will r~sUlt in £¢cs bcin§ doubled or $100.00 plus the normal permit fee, which ewr is 8r~tcr, O~ .If You are a contractor participating in the'Permit Fee .4ccount System and have ad'equate funds.' check her~ if you want this processed through your account ~'~ Job Address Owner [] ~ngle Family [~]Duplex Value Onciuaing lat~or "ha matlab) ~"~b, ~ Contractor ' ~9 []Multi-Family [-]Rental [--]Commercial Date [~]Industrial Number of Fixtures: Whirlpool Disposal Lavatory T~-~ Dishwasher Toilet ~ Sump Pump R~. Sink Ejc~tor/C~nd Bar Sink Water Sofmcr W~Gasr Heater / ' La:al Waste 2 Elect Z PwrVn~ Clothea Wshr Shower / Bidet Floor Drain Lndry Tray Classrm Sink Surgeons Sink Pla~tcr Sink' Bw. akrm Sink S~rilizcr D~t. Opex. Shamp Sink Dip V~/ell Hr/Wst Sink Drink Pm Catch Basin Wait. St. Wash Fm Ice Chest Urinal E~m Sink Gar Drain Sculvy Sink Soda Disp Haod Sink , Coffee Maker F Prop Sink Ice Maker S~rv Sink . . Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rex: Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Water Service O~R [-]Electric Installation Verificati6n form attachet (If Replacement) Size Mater/al ' Type. # Corm. Type 3/02 Inspection Services Division P O Box 1130 ~'~ Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Permit Ala, t 7 Sr' -:' I hereby apply for a pe~t to do ~d ~mll ~c follo~g piing on ~e pre~ses here~er de¢~ ~e work to co~o~ to ~e Wisco~in $~te Pl~mg Code, ~ ~e peffo~nee of which all pa~es hereto a~ce to ~d ~e. bo~d by said ~mtes. ApplicaQon(s) ~d fe~s) c~ be ~ou~t to Ci~ Hall, Koom 205 or ~iled to ~ecdon S~ces, PO Box 1128, Os~osh ~ 54903-1128. Co~c~g work ~out p~t(s) ~I1 ~sult ~ fees berg doubled or $I00.00 pl~ ~e noel ~t f~ w~ch cv~ is ~eat~. OR [f you are a contractor partici~atinff in the' Permit Fee Account System and have adequate funds.' check here ff vou want this processed through your account ~ Job Address ~[o B~ ~C~ ~.' Valne (~indin,~d ~) ~ ~ Date. ~Single Family ~Dnplex ~Mnlti-Fa~ly D~enta~ ~Commereia~ ~Indus~al Number of Fixtures: Bathtub / linde, Standp . ./ Dent. Oper. Shamp Sink Whirlpool Disposal , J I)ip Wet[ Flr/Wst Sink Lavatory f Dishwasher / Ddnk Fin Catch Basin Toilet ~ Sump Pump / Wait. S~. W~sh Fm Res. Sink / Ejector/Grind Ice Ch~t Urinal Bar Sink Water Softncr Fxam Sink Gar Drain Water Heater / Local Waste Scul~ Sink ' Soda Disp ~ '~ Elect E PwrVni Clothes Wshr Hand Sink Coffee Maker ShoWer ' '/ Bidet Floor Drain / F Prep Sink Icc Maker Beer Tap S~rv Sink Site Drain Lndry Tray . - Classrrn Sink Iht Grease Trap Roof D~ain . Lab Sink Surgeons Sink Ext Grease Trap Standp Rcc Pla~er Sink Breakrm Siak Sterilizer Electric Contractor Use / Nature of Work O._.~ r--lElectric Install:ition Verificatidn form attachet (If Replacement) Sanitary Sewer Storm Sewer Water Service Size Material ' Type. # Conn. Type 3/02 City of Oshkosh Impection Sen, ices Division P O Box 1130 Oskkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 KO/H Plumb,ng ? e Appli~fion(s) ~d fee(s) cm be kou~t to Ci~ Hall, R~m 205 or ~iled to ~specaon S~ces, PO Box 1128, Os~osh ~ 54903-1128. Co~enc~g work ~out p~t(s) ~11 ms~t ~ fees being doubled or $100.00 pl~ ~e noml p~t fee, w~ch ev~ is ~t~. OR If you are a contractor participatin~ in the' Permit Fee Account System and have adequate funds.' check here if you want this processed through your account ~ Owner '~c'-~b, ~ Contractor ' .~ p Number of Fixtures: ~vat~ ~ ~sh~h~ . / ~nk Fm Camh ~in Toilet ~ Su~ Pu~ / Wait Sr W~h Fm ~. Sink J Ej~r/~nd Ic~ ~st Urinal B~ Sink , W~ So~ E~m Sink O~ ~in Wa)~ H~t~ ] ~at Sho~ / Clo~ Wshr ~nd Sink Coffe~ Makg FI~r ~in ~ Bid~ F ~ Sink Ice Mak~ B~ Tap Se~ Sink · Mb Sink ~ Sink Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Water Service O~ ]-']Electric Installation Verificatidn form attachet (If Replacement) Size Material · Type. # Conn. Type 3/02 City of Oshkosh Inspection Services Division P 0 Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing I hereby apply f°r a permit to do and imtall 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 ~tarates. · Application(s) and fee(s) can be brought to Ci~ 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 you are a contractor participatin~ in the' Permit Fee Account System and have ad'equate funds.' check here ff vou want this processed throu~'h your account r~ ' Job Address ~/ ~ Value (l.cl.ai.g~ho~.~,~O ~-03 .cO Date Owner .-/f~_~.r/.v/_3~_ Contractor ['-]Single Family r-]Di]uplex [-']Multi-Family [-]Rental [~Commer¢ial [--]Industrial Number of Fixtures: Bathtub / Lnd~ Standp // Dent. Oper. Shamp Sink Whirlpool Disposal // Dip Well FtrAVst Sink LavatoEt ff Dishwasher ..... [ Drink Ftn Catch Basin Toilet ~ Sump Pump / Wait. St. Wash Fin Res. Sink / Ejectur/Gdnd Ice Chest Urinal Bar Sink Water Sofmer Exam Sink Gar Drain W~ter Heat~ / Local Waste Seut~ Sink ~as 2 Elect Z PwrVn{ Soda Disp Shower / Cloth~ Wshr Hand Sink Coffee Maker Bidet F Prep Sink Ice Maker Floor l~in ' ~ Beer Tap Sen' Sink Site Drain Classrm Sink Iht Grease Trap Roof l~ain , Lab Sink Surgeons Sink Est Grease Trap Smndp Rec ?l~~ Sink Br~akrm Sink StcHlizer Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Water Service O)/ ~]Electric Installation Verificati6n form attache{ (If Replacement) Size Material ' Type. it Conn. Type 3/02