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