HomeMy WebLinkAbout0158720-Plumbing (water heater) � CITY OF OSHKOSH No 158720
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1110 1114 W 20TH AVE Owner PLANEVIEW APARTMENTS LLC Create Date 11/11/2013
Contractor M P KELLY Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Ciassrm 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 0 Wtr Usage Mtrs 0
Lavatory _ 0 San Sump/Pump _ 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
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 MULTI-FAMILY(1114 W 20TH AVE-UNIT#2)/REPLACE ELECTRIC WATER HEATER '*check#13018
of Work i
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1307120100
Valuation $933.00 Plan Approval ___ $0.00 Permit Fees _ $30.00 ❑ Permit Voided
Issued By �11N Date 11/11/2013
0
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 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
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.
�°.�.�"�EIVED
City of Oshkosh N 0 V 112 013 �
Inspection Services Division �
P O Box 1130
OShkoSh,WI$4903-1130 DEPARrale�;7 OF
Phone:(920)236-5050 �O�I.titUNITY DEVE:.OF°�1ENT
Fax:(920)236-5084 Y'YSPECTIO�SERVICES DI�'iS1�K �
ON THf WATF�i �
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 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
�vou are a contractor partici�atinQ in the Permit Fee Account Svstem and have adeouate funds check here
�vou want this nrocessed through your account (�
**Advisory-For applicable projects, an Electrical Installation Veri6cation(EI�form,signed bp the Electrlcal
Contractar or Hameowner(for installations allowed to be performed by the homeowner)mast be snbmitted
with the permit application. Applications submitted wit�out an EIV when snch is reqaired,will not be
processed for Permit Issuaace and w�l be returned for completion.
Job Address � ���%��� V alue�m�i�a�g���a�����°� Date �0 �
Owner Contractor �°���
❑S�ngle Family ❑Duplex �rlti-Family ❑Rental ❑Commer al ❑Industrial
Number of Ftxtvres: �
Bat6tub Sump Pump Ptaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Sham�Sink Site Drain
Toilet Gazage FD Surge.ons Sink Waitrs Sm
Kit Sink Local Waste Sterilizer Ice Chest :
Disposa� gar gink RPZ Vaive Comm Ice Maker
Dishwasher
Breaknn Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Watcr Heater � F Prep Siok ---- Dipper Well Deduct Meter __
l�Gas i�1�t;�PwrVnt Floor Sink Dtiak Fnta Wtr Sewer Mtr
r
Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr
Cndry Tray Isb Siok Catch Basiu Misc Fixtures
Electric Contractor(for p jects not rin aa EIV Form)�
Use/Nature of Work �
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
�V�
06/09