HomeMy WebLinkAbout0157763-Plumbing � CITY OF OSHKOSH No 157763
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 16 CHATEAU TER _ Owner BRIAN G ZIEGLER Create Date 09/09/2013
Contractor C SWEETING PLUMBING LLC Category 412-Res-Interior(New/Relocated Fixtures) Pian
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 Lndry Tray 1 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 1 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. Q Fixtures
Kit Sink 0 Standp Rec 1 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
Fioor 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 SFR/Remodel the basement to include adding a bedroom with egress window,bathroom, laundry room and family
of Work room. New walls will be non-loadbearing. All construction shall comply with State and local building codes.
**debit acct*"
�_
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcei Id#
1527610000
Valuation $2,500.00 Plan Approval $0.00 Permit Fees $45.00 ❑ Permit Voided I ;
Issued By �1�� Date 09/17/2013
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 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017
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 1130 �
Oshkosh,WI 54903-1130 �
Phone:(920)236-5050
Fax:(920)236-5084 O�
' ON THE W/1TER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnbed,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 stazutes.
• Application(s)and fce(s)can be brought to City 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
I ou are contractor artici atin in the Permit Fee Account S stem and have ade uate unds chec�E here
i ou want this rocessed throu h our account
*''�Advisory-For applicable projects, an Elec�rical Inatallatioa Verific�tion(EI�form,signed bp the Electricai
Co�mractor or Homeowner(for installations allowed to be perfo�ed by the homeowner)amst be sabmitted
with the permit application. Applications snbmitted withont an EIV when snch is reqoired, will not be
processed for Perniit Tssnance and will be rehuned for completion.
�•��-
Job Address�� G��•��u-� �L'r Value(�aua���a��> Z{ S�� Date l!Z �i
Owner Contractor ' � �-S��{'���� �'��,� ��G
�Single Family ❑Dnplea OMulti-Family ORental ❑Commercial �Indnstrial
Number of Fiatures:
Bathtub Sump Pump Plastcr Sink Roof Ihain
Shower � San.Sump/Pump Scullery Sink Soda Disp :
Whirlpool Waber SoRenu Service Sink Coffee Mla :
Lavatory � Standpipe Rec _� Shamp Sink Site Drain
Toilet t Garage FD Surgeons Sink Waitis Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
��h� Brealam Sink Bidet Int Grease Trap
Floor Ihain Classrm Sink Urinal Ext Grease Trap
g�g�� Exam Sink Beer Tap Eye Wash Stn
Watcr Heater F Prep Sink Dipper Well Deduct Meter
❑Gas�Elect�PwrV� Ftoor Sink Drink Fnm Wu Sewer Mtr
C1Whes Wshr Hand Sink Wa4h Fntn Wtr Usage Mtr
r-udry TraY �_ Lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form) �—
Use/Nature of Work �i.�t�'t�;�� ,L''��5�=��' f� �
Size Material Type # Conn.Type :
Sanitary Sewer
Storm Sewer
Water Service
06/09