HomeMy WebLinkAbout0157984-Plumbing (shower & floor drain) � CITY OF OSHKOSH No 157984
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1708 OAK ST Owner JEROME N WOLF Create Date 09/30/2013
Contractor REBATH OF CENTRAL WISCONSIN 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 Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIr/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 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 1 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/install new shower and floor drain �
of Work
'�debit acct'*
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1510500000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�'
Issued By vLV�, Date 09/30/2013
In the perFormance of this work, I agree to perform ali work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 230 N KOELLER ST OSHKOSH WI 54902 -4104 Telephone Number (920)765-0068
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified othervvise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
- . Sep, 26 2013 1 :47PM REBATH CENTRAL WI 9203035935 . � . . . � � No. 4595� i� P, 2/2�. a �
. • ' . . •• � • ` . . ' ' � D . ON'The wn�tK'' . ..
., ..� .. ' ' .. .; . . . ., .. ... ., i . . .. . ' . . ... . ' . . . .
. . . : ' : . .• . ., ' .. .. . . .
.: .; �: .. .,. . l�En�irtg Per�r� A.�pl,ication. : � : -
. T hereby apply for a peimit to.do,and install the following plumbin.g on the premises.hereinafter described;the woric to conform io the
Wisconsin 9tate plumbing Code;in the�aiformance of which all parties hareto ao ee to,�and are bound by s$id statutes;
� . Applicaiaon(s)and.fee(s)can be brought to City Hall,Room 205 or mailed to Inspecbon Sernices,PO IIox]128,Oshlc�osh DVI
, 54903-]128. Cominencing work witb,out permit(s)willresult in fees being doubied or�]00.00 pJus the normal.perm;t fee,which
� ... evcr is greater. . • . .
. . . . . OR . .
f�ou' are .a contractot pQrlrcipatinQ in the Pe�mii ee Accounl Svslem and have adeouate funds, check here, '
ifyou wan! [his„nrocessed lhraugh_y_nur,accaunt I—I �
'�*�dvisoFy-Foz.appIieable projects, act E�eetrical�tallation Fer�fcatjon(EI�farm, sigxaed hy the Elect�ieal
ContracCor or Homeowner(for iastallati.or:s allowed to be performed by the homeowner)mixsC be snbu�tted
wirh the per�it applicata[on. AppIications submitted wirhout a�EIV�vhen such is rcqctired, wilt not be
. proccssed for Permit�ssuaz�ee aad��ill be ret�med for completion.. � . .
a s�qol ��•� t'�
Jab Address �I� �U �Q K S� Vdj[Ie(]ncludin�Iafwr and rt�Ceriels) b�Fte� � l�
. Ownez� Contractorf�f�t11�1oMrt�S.So�v-}1►�dl� D�;A ����}
[�Single Farni�y ODuplex ❑1Kulti-�amily �Rental ❑Correu�ercial � []IQdiLCtriat
i `
Number o�f Fiztures: �
BadiNb Sump Fump Plas[ec Sink'. Roof Drain
Showcr �� Saa Somp/Puutp Scullery Sink Suda Disp
�+'hQipooi Wsiu Sofrener Sc[vice 5ink Cuifx iv�
Laraflory Standpipe Rec . Shamp 5ink. , Sito�sio
. Toila . Ga�agc FD . . ' Surgeons Sink, � Wai�rs Sm
�it Sink Local Waste S[ecili2ei Icc Chest.
D'esposal Bar Smk RPZ Vulve Comin Ico Msker
Dish•�ssher '� I Br�m Sink 'Bide't Int G,�ase Trap .
. Floor flrain �. Classrm Sink Urinal Ext Grease Trap
� Hose Bibb .. Ex�n Smk : . Bcei Tap • . Eye Wash Sm
Water Hcaru F Prep.Sink : . Dipper Wc1! : . DeAucrNlctcr . �
.. 'p G�ss 0 Elea O.Pwr'Vric Floor Smlt, . Drink Fna� Wtr Sewer Mff
Clot6es Wshr. Hend Sink` � ----.._..: :._W�sJ!�'ll�._........:....._. .... ... ..;W1r Us,agc Mv.:... . .
. _..._.
LndcY_Tra3_. .:.. ..:...._...l�b.Sink-._....... .. . . . .. _._CazchBasin.----:....-: -.- -._......---.M�scFlxtures
ELec�Srac Co��ra.c#or.�far p�-ojects�ot req��r�g�a E�?Far�) .. .
- - -.... � �
.. ._.. . . .. . _..._._....._.._...._.. .. ...__..._... . ...-- -..._ _.... ....._ .. .
. . _ : ...__..__....._ � � -
YJse I:Nat�.re o$�Vork _ .. . . ._. . -� ..._..- - --- . -- � . . ._.__.... ...._.. . .:..�.
. Size Material �;�e. . .... �... .. .....__.. ...Corui_7ype...__.. ...
. .. . . _ �
Sanitary Sewer . � � . , '.
. .. .
Storm Set�er . . � . .
Water Service .
. . .
. .. ._ . ' .. . . /09
.. . . . ., . . .,. : ... • 06