HomeMy WebLinkAbout0157259-Plumbing � CITY OF OSHKOSH No 157259
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 614 AMHERST AVE Owner ARMADA CAPITAL MANAGEMENT LLC Create Date OS/16/2013
Contractor RADTKE&SONS INC,EDW F Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrtn 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. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 1 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 1 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 0
Use/Nature RENTAU kitchen sink and dishwasher
of Work
'ck#27821'*
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0702610000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�,
Issued By �YL�, Date 08/16/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner :
Address 3730 N WOODSIDE CT APPLETON WI 54913 -7904 Telephone Number 920-733-7932
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
. _�----_.�__—.
City of�Dshkosh � '
Inspection�rices Division � ( '
POBox113Q �
Oshkosh,WI54903-113U ' `
Phmie:(920)236-5050
Faar.{920)236-5084 O � H :
Ohl TFfE WA7ER
Plumbing Perm�t Application �
I hereby apply for a permit ta do aad'mstall the following plumbing on the premises hereinafter descnl�ed,�e work to conform to#he ,
Wisconsin State Pfimbing�Code,in ti�e paformance of which all parties hereto agree to and are bound by said statirtes.
• Application(s)and fee(s)can be brought to City Hatl,Room 205 or mailed to Inspection Services,PO Box 1128,Qshkosh WI , ;
54903-1128. Commencing work without permit(s)will resalt m fees being doubled or$l OQ.00 ptus the normal petmit fce,which
ever is greater.
OR
� �,you are a contractor narti�ating in the Permit Fee Account Svstem and have adeauate funds, check here
if vou want this processed through Your account n
**Advisory-For applicable projects, an Electrical Installation Yerificat�iox�(EI�form,signed bp the Eiectrical
Contractor or Hon�eowner(for installations allowed to be petforn�ed by the homeowner)must be submitted
with the permit application. Applications sabmitted withont an EIV when sach is reqnired,will not be
processed far Pecmit Issaance and will be rcturned for completion.
Job Address f L1 �n�uu2sh VSI11C{Including labor and matuials)�SO�� Date �'S -I S-13
Owner ,r��d o• ' +� ��1a'^�-Contractor ��c.,�. � �oT11� � So w� . t�c a�I 319
❑SingIe Family []Duplea []Ma1N Family �Rental ❑Commercial �IndostriAl
Number of Fiztures:
Bffihtub Sump Pump Plaste�'Sm(c Roof Ihain
Shower San.SumplP�mp 5culiery Sink Soda Disp
Whirlpool W�er Softcnrt Service Sink Coffee MIQ
Lavatory Standpipe Rec Shamp Sink � Srte Drain
Toilet Garage FU Surgeons Sink Waitrs Stn
Kit Sink _� I.ocsl Wast� Sterilizer Ice Chest
D�p�� Bar Suilc RPZ Valve Cmnm Ice Maka
Dishvrasher � Breakim Sink Bidet Int Grc�Tiap
Floor Arain
Classrm Sink Urinat Ext Grease Trap
Hose Bibb E�S� �TeP Eye Wash Sm
Water Hmter F Prep Siak Dippea WeIl �►�M�
�Gas Q Eiect�PwtVnt Floor Sink - Ihink�ntn Wtr Sevre,t Mtr
c��wsn� x�s� w�n� w�u�r�
I.adry Tray Lab Sink Catch Basin Misc Fixnucs '
Electric Contractor{for projects not requiring an EIV Form)
Use/Nature of Work
. Size Material Type # Cotm.Type
Sanitary Sewer
Storm Sewer
Water Service
r
06/09
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