HomeMy WebLinkAbout0158542-Plumbing (interior) /�"� CITY OF OSHKOSH No 158542
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2305 SHORE PRESERVE DR Owner SCHMIDT BROS CUSTOM HOMES Create Date 10/10/2013
Contrector WATTERS PLUMBING _ Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jon Mueller
Bathtub 1 Clothes Wshr 1 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 2 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 1 F Prep Sink 0 RP2 Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 5 San Sump/Pump 0 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 4 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 0
Disposal 1 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 1 Bar Sink 1 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 2 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature NSFR/New single family plumbing install
of Work
I'*debit acct*' �
I
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1281260000
Valuation $8,071.00 Plan Approval $0.00 Permit Fees $198.00 ❑ Permit Voided'
Issued By �j�� Date 10/30/2013
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 PO BOX 118 MENASHA WI 54952 -0118 Telepho�e Number 920-733-8125
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.
10/29/2013 TUE 14: 40 FAX 920 733 2713 Watters Plumbing ��� City of Oshkosh �001/001
;
City of Oshkosh
. Inspection Services Division �
P O Box 1130 �
Oshkosh,WI54903-1130
Phone:(920)236-5050
Fa�c:(920)236-5084 O �--+��--{
ON THE WATER
Plumbing Permit Apptication
I hereby appiy for a permit to do and install the following plumbing on the premises hereinafter descrihed,the work to conform to the
Wisconsin State Plumbing Code,in the perforrr►ance of which aIl parties hereto agree to and are bound by said statutes. .
• Application(s)and fee(s)caa 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 nonnal permit fee,which
ever is greater.
OR
1 ou are a contractor artici atin in the Perrriit Fe Acco�nt S stem and have ade uate unds check here
i ou want this rocessed throu h our account '
**Advisory-For applicable projects, an Electrical Tnstallation Verifica.tion(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed 6y the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when sach is required, will not be
processed for Permit Issuance and will be retumed for completion.
Job Address Z� `�S' Shc�r-� �YC�S(,'r.�R�lIB(Includinglaborandmatcrials) � v v 1 I Date �� ��� �
Owner S��'11'Yi 1���- Contractor V Y '�=H e�'-� p 1� ��►�i r��i
[�JSingle Family �Duplex ❑Multi-Family ❑Rental ❑Comraercial []Industrial
f�
Number of Fixtures:
Bathtub I SUmp Pump � Plaster Sink Roof Drain
Shower � San.Sump/Pump Sculiery 5ink Soda Disp
Whirlpool Water Softener Service Sink Coffce Mkr
Lavatory �' Standpipe Rec Shamp Sink Site Dcain
Toilet � Gacage FD Surgeons Sink Waitrs Stn
Kit Sink � Local Wastc Sterilizcr Ice Chest
Disposal � Baz Sink � RPZ Valve Comm[ce Maker
Dishwasher I Brcakrm 5ink Bidet Int Grease Tcap
Fioor Drain !� Classrm Sink Urinal Ext Grease Trap
Hose Bibb 2 Exam Sink Beor Tap Eye Wash Stn
Wate�eatcr T— F Prep Sink Dipper Well Deduct Meter :
@'rias n Elect CJ PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtc
Clothes Wshr � Hand Sink Wash Entn Wcr Usage M�
Lndry Tray Leb Sink Catch iiasin Misc Fixtures
Etectric Contractor(for pro,jects not requiring an EIV Form)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Secvice
, '
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06/09