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Home My WebLink About2013-Plumbing (code corrections) /�"'� CITY OF OSHKOSH No 158548 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 320 PROSPECT AVE Owner JASON E/DONALD D LAPLANTE Create Date 08l30/2013 Contractor SINCLAIR PLUMBING INC Category 410-Residential-Interior Plan Inspector Jerry Fabisch 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 1 San Sump/Pump 0 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 1 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 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 2 Use/Nature SFR/plumbing has been started without obtaining the necesary permits. Double fee is assessed/correcting all � of Work 'plumbing code violations i"ck#2993'" i Size Materiai Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1008390000 Valuation $500.00 Plan Approval _ $0.00 Permit Fees $154.00 ❑ Permit Voided', Issued By `�, 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 1950 RADISSON ST GREEN BAY WI 54302 -2037 Telephone Number 920-406-0937 , 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. t � Q City of Oshkosh ��y � Inspection Services Division � P O Box 1130 � Oshkosh,WI 54903-1 1 30 Phone:(920)236-5050 HK f � Fa�c:(920)236-5084 ON THE WATFR Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which a(I parties hereto agree to and aze bound by said statutes. • Application(s)and fee(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 If vou are a contractor participating in the Permit Fee Account System and have adeauate funds check here if vou want this processed through vour account n **Advisory-For applicable projects,an Elecdrical Installation Verificarion(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be perforn�ed by the homeowner)mnst be snbmitted with the permit application. Applications sabmitted without an EIV when snch is reqnired,will not be prncessed for Permit Issuance and will be retnrned for completion. o° '" D` -.� Job Address O e G �� VA�UC(Including labor and materials) S Date Owner _,�ro�O�,c/f Contractor ___��;cic f.�i�/ ,�fu�r�r�ii/'� �c- ❑Single Family �Duplez ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fiztures: Bathtub Sump Pump Plaster Sink Roof Drain Shower � San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory � Standpipe Rec Shamp Sink Site Drain Toilet � Gazage FD Surgeons Sink Waitrs Stn Kit Sink � Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrtn Sink Urinal E�R Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Sfi Water Heater �_ F Prep Sink Dipper Well Deduct Meter �Gas�Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fnfi Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn � �� Sanitary Sewer stom►seWer OCT 3 0 201 Water Service DEPAEtTME'�T O 19EVT iNSPECTiOV SER�'ICES DiFISiOY 06/09