HomeMy WebLinkAbout0157262-Plumbing (water heater) � CITY OF OSHKOSH No 157262
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1029 KNAPP ST Owner CLIFFORD W/ANNA R FRANK REV TRUST Create Date 08/16/2013
Contractor J RASMUSSEN PLUMBING 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 FldWst 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 Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1307380100
Valuation $700.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�
Issued By Date 08/16/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(worM
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
RI, AUG, 16. 2013 11 : 36 AM KITZ&PFEIL OSHKOSH FAX No, 920 236 3348 P. 001/001
c��y of o5�co�
Tnspection Services pivision �
P O Box 1130 �
Oshkosh,'W15a903-1130 . . .
Phone:(920)236-5050
Fax:(920)236-5084 , �((1 H
i o�`J
' ON'(HF, ATER
� Plumbing PermitApplication
Y�ereby apply for a permit to do and install the foUowling plumbing on the pxemiscs horeina$er doscribed,thc work to conform to the
• 'W'isconsin State Plumbing Code,ip tbe performance of which ali parties hereto agree to and are bound by said statutes_ �
• Application(s)and fee(s)can be brought to City Hall.Room 205 or inailed to Tnspection Services,p0�ox.1128,Oshkosh�VT
54903-1128. Commencing work without permit(s)will result in fcos bcing doubled or$300.00 plus the normal permit foe,whieh
ever is greater_ '
OR �
X{vou ure a contracior b�rticiparin�, in the Per►ni� Fee rtccau�t Svstem and have adegu.ate funds cheCk here
i�'yoi� want this processed rhrough vour accounl I-1
� **A.d.pisoiy-For applicable projects, an Electrical Ynstallat3on Venlficatioa(EI�fox�m, sitgned bp�Yhe Elec�ical
Cont�ractor or Homeowner(far installations allowed to be peiformed by tht homtownez)mnsC bt sabanitted
with the permit applicat�ion. Applications sabmitted vvit�out an EN ovhea�sach is required, wiII not be
processed for permuit xssaance and�vvill be retumed for eompletion.
.�
�ob Address �V G el V�✓1�pp �I Value(Tnoluaing�ebor ana ma[er;als� �� bate /��s
� Owner �����ca� �l'a��C Contractor :. ��'-F ��Sr�u SS-«
�Single Family ' ❑Duple� ❑Nlulti-Family ❑Rental ❑Commercial ❑Industr➢al
Number of Fi�tiures: �.
19et6tvb Sump Pump Pleater Siok RoofArain �
Shower San.Sump/P�unp Scullay Sink Soda Di,p
Whirlpool Watcr Softenu Service Si�Jc Coffte M1Q
Lavatory srsndpipe Ttec . Shnmp Sink Site T�rain .
Toilet Garaga FD S�geons Sink Waias Sm . � �
�ic Sink I.ocal Wasre ' Sten7iier Tce Chest
Disposal 8ar 5ink RPZ Vel've Comm Ice]rlaker
bishwasher �realam Sink . . 8id� Int C3rease Trap :
FloorT�rein ClassYm SinY ' Uev�al Fact Crrease Trap
Hose Bibb �Sio�e ' Beer Tap • 5ye'Wa9h Str�
Water fieatar � • ��A Smlc • Aippar V✓o!1 � Ykduct Meter
�GaR 0�Iect o Pwr'Vnt pr��g� ' ��Fpp, Wa Sawer Mc
Clothes Wshr T�md Smk ' Vl�ash F�m WQ Usage Ma
��+7'�Y T.ab Sink Catch 9asm Misc Purnues .
Electric Contracror(for projects not xequiring an E�'�'orm)
� Use/Nature of Work �i G��,G cyc..s �„��'�.G� �j�Gr
********�*****�
Size Material Type # Conn.Type
Pleasa use
Sanrtaly Sewer � 'f.�.'
Kitz & Pfeil
Storm So�wer ' • • p���
WaYcr Service � . �n� �ur ,
� • �hris
. �*******�***�x• :
• 06/09