HomeMy WebLinkAbout0158637-Plumbing (interior) � CITY OF OSHKOSH No 158637
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1657 MARICOPA DR Owner TIM FREY Create Date 10/25/2013
Contractor NEUMANN PLUMBING _ Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 1 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 2 San Sump/Pump 0 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 2 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 1 Gar Drain 1 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 2 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 2 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 2
Use/Nature NE E68W D CBRF/CONSTRUCT 1 STORY,8 BED CBRF, INTERIOR PLUMBING ONLY "check#46659
of Work
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I
Size Materiai Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
Valuation $14,760.00 Plan Approval $0.00 Permit Fees $144.00 ❑ Permit Voided I
Issued By �C,O Date 11/05/2013
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
Agent/Owner
Address 1114 MILLERSVILLE AVE HOWARDS WI 53083 -0000 Telephone Number 920-565-3345
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 HK H
Qf+1 THf l'JATFR
Plumbing Permit Appiication
1 hereby apply for a petmit to do and install the following plumbing on the premises hereinafrer described,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 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 narticipatinQ in the Permit Fee Account Svstem and have adequate funds check here
if you want this processed through vour account n
**Advisory-For applicable projects, an Elecirical Installation Verification(EI�for,m, si�aned by the Electnical
Contractor or Homeowner(for installations allov�cd to be performed by the homeowner)must be sabmitted
with the permit application. Applications submitted without an EIV when such is required, w�l not be
processed for Pernut Issuance and will be rehuned for completion. �
Job Address ��PS Q.Ir i�o ��� VBIUe(Including labor and materials) 7L0— Date O 3/
Owner �� S Contractor . N��w�ahn �I�.w.b i�u � 1�e.,-�;no,�v�c.
❑Single Family QDuplex ❑Muiti-Family ❑Rental �Commercial ❑Industrial
Number of Fixtures:
Bathtub Siunp Pump Plaster Sink Roof Drain
Shower �_ San SumP/Pump Scullery Sink Sada Disp
Whirlpool � Water Softener Service Sink Coffee Mkr
Lavatory _.�__ Standpipe Re� Shamp Sink Site Drain
Toilet a Crazage FD � Surgeons Sink Waitrs Stn
Kit Sink �_ Local Waste Sterilizer Ice Chest
Disposal �_ Baz Sink RPZ Valve Comm Ice Maker
Dishwasher �_ arealcnn Sink Bidet Int Grease Trap
Floor Drain ec, Classrm Sink Urinal Ext Grease Trap
Hose Bibb �_ Exam Sink Beer Tap Eye Wash Stn
�ya�H�� 2 F Prep Sink Dipper Well Deduct Meter
0 Gas 0 Electl�wrVnt Floor Sink Drink Fr,V; Wtr Sewer Mtr
Clothes Wshr � Hand Sink Wash Fntn Wtr Usage Mtr
Lndry Tray I,ab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work
Size Material Type # Conn. Type Q�
Sanitary Sewer �'I ���
Storm Sewer
��
Water Service
.���t�ivR T�l� 6:n9 O��y 06/09