The URL can be used to link to this page

Home My WebLink About0157764-Plumbing (water heater) � CITY OF OSHKOSH No 157764 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 139 HIGH AVE Owner KLRR INC Create Date 08/22/2013 Contractor C SWEETING PLUMBING LLC Category 411 -Residential-Water Heaters Plan Inspector Jerry Fabisch 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 Q Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 Flr/Wst 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 'DUPLEX/water heater installation"'*LATE FEE ADDED FOR WORK DONE WITHOUT A PERMIT***this is the first of Work of two water heater installs within the same duplex this permit is for the water heater installed in 2012 "debit acct'" Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0101050000 Valuation $700.00 Plan Approval $0.00 Permit Fees $130.00 ❑ Permit Voided I Issued By � Date 09/17/2013 v 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, Finat,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 Fa�c:(920)236-5084 O K H ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following ptumbing on the ptemises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all pa�ties hereto agree to and are bound by said statutes. • Application(s)and fee(sj can be brought to City Hatt,Room 205 or maited 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 1 ou are a contractor artici atin in the Permit ee Accoun Svstem and have ade uate unds check here i ou want this rocessed t rou h our account �*Advisory-For applicable projects, an Electricai installation Verificai�ion(Ei�form,signed by the IIectrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be sabmitted with the permit application. Applications so.bmitted withont an EIV when sach is required,w�l not be processed for Permit Issaance and w�l be retarned for complet'ron. c�v Job Address �J' � ��,�L► f�4�` Vatue�i�iva�,g►abo�and�ce�s� /, Z�'c� Date g i Z-I 3 Owner ,5��,.� �%Nd%� k�/l/L Contractor- �' _ S�-- �� -t:-�.�- �p/6 c.j, ❑Single Family �Duplea OMulti-Family []Rental ❑Commercial DIndustrial Number of Fiatures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whidpool Water Softener Strvice Sink Coffee MIQ lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surge�s Sink Waitrs Stn . Kit Sink Local Waste Stcrilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrtn Sink Bidet Int Grrase Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb �m Sink Beer Tap Eye Wash Stn Water Heater Z F Prep Sink Dipper Well Deduct Meter ��vm Floor Sink Drink Fnm Wtr Sewer Mtr Clothes Wshr Hanci Sink Wash Fntn Wtr Usage Mtr Indry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) �� /� fi�•C Use/Nature of Work �'G�l4 � �- Z �%�} Size Material Type # Con�Type Sanitary Sewer Storm Sewer Water Service 06/09 � City of Oshl:osh � Division of Inspection Services 215 Churoh Avenue PO Box 1130 Oshkosh Wi 54903-ll30 Oflice 920-236-5050 i HE WA ER Fax 920-236-5084 - Electric Installation Verification I (We) � `� �( �P,�'+�' t�- ( ( L-- (Electrical Contractor Name ar Homeowner's Name) �G �� S� O� � �G� U/� .�-Y.D� (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: � � � , ��, � v�- (Address where work will be performed) The nature of the work consists of (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. _� Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding/soffit installation. Note: New Service Entrance Cables will require�separate permit. : Reconnection or new circuit for the replacement of other permanently wired appliances/fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi-use building would require a licensed Electrical Coniractor. Other Z N��T�� . � The value of this work is $ /�� d I hereby verify this work will be performed in compliance with the License requirements of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection/installation will be done in compliance with manufacturer and Electric code requirements. ' � � o �/ iL i3 � gnature of Company Officer or Homeowner� �Print Name� �Date� 07/07