HomeMy WebLinkAbout0157227-Plumbing � CITY OF OSHKOSH No �s�22�
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1185 HEIDI HAVEN DR _ Owner RUSCH HOMES LLC Create Date 08/06/2013
Contractor D.R. HANSEN PLBG. Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 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 Vaive 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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 1 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 ISFR/Remodeling the basement to create a bathroom,family room and kitchen area.
of Work
!*'debit acct"'
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1342953300
Valuation $2,500.00 Plan Approval $0.00 Permit Fees __ $36.00 ❑ Permit Voided I
Issued By ��..�. Date 08/15/2013
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 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
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 o:f Oshkosh
]nspect�on Service,c.Dtvision
P O Box 1130 �
Ushkosh,WI 54903-1130 �
Ph�ne:(9Z0)236-5050
�'ax:(920)23G-5084
�o
Plumbing Permit A,pplication �N TME WnrFR
I hercby apP�Y for a pctmit to do Attd'mstall�e fellowing plumbing pn the prcmises herainAfter dcscril�ed,the work to conform to thc
Wisconsin Statie Plambing Code,in d►c perfnrmenee of which all parties hereto agree to snd are yound by said statutes,
• Alpplication(s)aod fee(s)qn bc brought to City HaI�,Room ZOS or mailed to ln
54903-1128. Commcncing wo�k witho��t permit(s)will result in fecs being doub��r�100.00 plus hB normalpe�r�m�,t fcc,w ich
cvcr is���,
OR
1 o e o ontraclor rt' ' at'n in �e Pe rrrit F e �l Counl st an hau ade uate nd, ch he►�g
�ou wonl tltis nroccsced throu h y_ tr a�count (-1
"'*A,d�visoxy-For a�rlicabae projects, an Elec�ical Installa�bio�u Y�ti&ca#�ion
Con�ractoz or I�rnancowncr(�vr i�stallations a�awed to be perk'oimed by tb►e bo�w�acr)�ttusc be sabmitted �a1
with the Pc�r�tuit ap�licai�ian. A,pplicatio�s sob�taittcd avith�t an EIV wbcn smch�is
p�roccssed�o�t Pct�onit�,saartce and�be rctautned�or co�ouptc�bion. ���'�'��ot be :
•Yob Address ' U J I l{��, C 1�`�t►�► Value(h,��„d�n8�al,or ana Rmt«;a1.4���S 0� •U U fj i3
� , � bate
Owner Contractor V Ih, L
�Singic FamaY QDnplc�[ ❑Malti-FAmiIY �.�tental �Cenn�mercial
L�][n a,�l
Nnm,ber o�'Fixtures:
Ba�Mub Sump pump
5ho�wr � PiaAlcr 3rnk RoofiXein
Snn.Sump/Pump CCUI1crySlnk
Whirlpool Watcr SaRencr Sodn Disp
� Scrvice Sink Cnffeo Mkr
Lavatpty Star�ipc Rce Shamp Sink
Toilct _L Q��� Sitc T�g'n
$urgcon.a$ink Wai�Stn
Krt si�c r.�l waae
Disposal ' sterillza icC Chaat
Bnr Sink RPz Volvc
biah�anehcr i3twkrm Sink Comm ke Mekcr
9idct irtt C.�nac Tmp
Floor Dr�in Clnswm Cink l.Jrinal
Hosc�ihb EScnm Sink ��'"��
Bax TAp C-y�v✓a+h Sin
WatCr Hcal'0r F Prep 5ink _ Qippcx WCII
u Cns CI P.lea fl PvvrVnc — Doduct Mctcr
Floor 5ink Drink Frnn
Clotlt�e Wshr Hand Sink . w�*Sca'cr MU
�.y T� . wash F.ht+i : • Wtr
Y �h S'rnk �B�Mtr
Cnkh Basin , MiRe Fixturc,�
E1ect�ic CoOtractor(for projects not rec�uiring an�EN Formi)
Use/Natqre o�Work p
Size Material '[�� # _
„ _ Conn.Type
Sanitary Sewor '
Storm Scwer
Wate�3crvicc
OC,/09