HomeMy WebLinkAbout0158830-Plumbing � CITY OF OSHKOSH No 158830
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1209 HARNEY AVE Owner CORY T TELLOCK Create Date 11/19/2013
Contractor HOMEOWNER 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 2 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 2 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 Locai Waste 0 Sculry Sink 0 Drink Ftn 0 Int GreaseTrap 0
Ftoor 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 SFR\Adding 1 room, 1 bath,and a 1/2 bath to the second floor'2 x 8 floorjoists 16"o.c.spanning 14'.Adding a
of Work micro-lam to support roof load.Engineering to be provided before rough-in.All work to be according to current code
requirements.Assistance provided by Leach Bros.
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Size Material Type # Conn.Type
Storm Water
— — — --- Parcel id#
0804560000
Valuation $3,000.00 Plan Approval $0.00 Permit Fees $54.00 ❑ Permit Voided ;
Issued By L;�"Z'� Date 11/19/2013
The undersigned,in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned,hereby acknowledges,per Wisconsin State Statutes,ss 145.06,that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit i�sL�d to a properly licensed Master Plumber.
In the performance�i,s work, I agree to�orm 311 worJ���.ursuant to rules governing the described construction.
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Signature � -'z, /,_r' �;�� �/' � Date
G' AgenUOwner
Address 1209 HARNEY AVE OSHKOSH WI 54901 5438 Telephone Number
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.
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.