HomeMy WebLinkAbout0158858-Plumbing � CITY OF OSHKOSH No �sssss
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2023 HAMILTON ST Owner DOLORES A REETZ Create Date 11/15/2013
Contractor REBATH OF CENTRAL WISCONSIN 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
Whirlpooi 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. 0
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 1 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 0
Use/Nature SFR/remove cast iron tub and install acrylic shower
of Work !
i"debit acct"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1213150000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'
issued By �j�1/l. Date 11/21/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 230 N KOELLER ST OSHKOSH WI 54902 -4104 Telephone Number (920)765-0068
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
. . Nov, 14. 2013. 5: O1 PM� . REBATN CENTRAL WI 9203035935 ' � .:�.... ; ; �: No. 4765/ rP, 2/2 r-1 � �
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: , . � � , �Plur�b�ng.�er�it Appl:icat�on � � ; � .
.:...�I hereliy$pply.for a permit tv.do and install the following plumbing,on the premiseshereinafter descn-bed,the work to conform to the
�, Vfliscons�State�lumbjng Code,in tlie�erfortnance of which aIl parties hereto agree to aad are.bound by said stntutes: :
, • Application(s).and.fee{s)can be lirougi�t.to City Hall,Room?OS or mailed to Inspeetioz�Services;PO Box 1]28,Oshkosh GVI
5�903-1125_ Comi�encuig work vrit.houi pexmit(s)will result in fees being daubled or$100.00 plus tte normal permit fee,which
ever.is�reatcr. � . , .
OR . ..: . .
I ou ar'e a controctnr artitf atrn r.'n the Permit Fee Accnunl S slem and I�ave ade uate unds check here
if vou wa�at rhis roce�srd throu h ou� accnunt .
**Advi.sorp-Far applieable pro3eets, an Elec�teYCal InstaIIation'Veri�catso�(EI�fotai, sz�ed by the Electtic�I
Co�ntraccar or Eorz�,cowncr(foz installa�iaas aTlowed to be perfoxmed by the Taameow�cr)utt�st be snbmstted
with t�e pez�it appizcatioz�. A�pficaiio�s submittcd nvit�iout�n ET'V wben such is re�uzre�, witl not be
processed far Perinit Issuanee ax�d wiLi be re med for campletion.. �� •
.�ob Address���� Q,i'YL� . .`V'$lue r��i� � !� �
�� ( d�ng labor Fmd matcrials) �VV- � Ba�e !� /�
Owner �l`��P � P Contxa�to"r�� 1<<��S.�u.q.-�bi?5 �Q�} ��. �
[�5inple Family �Dupler �Multi-Fami � .
�y' �Rental ❑Comtn�ercial DIrediutrial
Number of F'ixtures:
B:ilhhib Sump Piimp. plastcr Siul•' Raof Drain
Shower ____l=,Y Saa Sump✓Pump Saullcry Sink . Soda.D'
�P .
"v✓hiripoui W�er SoRencr 5r,rvicc Siuk �o�fee iv[kr
Lavarory Stsadpipe C2ec Shamp SiNc Sitc brain
ToIIet _ �
Garage FD Surgeons Sink ' Wa►trs Stn
I:it Sink 1.oca1 Wastc Stcrilizer'.
. 1ce Cl�est
Disposu! Bar Sink IZPZ Valve Comm Ice Maker�
:Dishwasher Bre��ilam Suil: "Bidei • ' � Int Greasc Trdp
Floor Draia �J Clas9m Siak. • • Urinal �x[Greasc T
. �P
Hose Bibb ' Exam 3ink. � . Hecr TaP Eye Wash Stn . .
WAter.He�ler F Prep 5ink Dipper Well Deduct Meter
:.�0 Gas D filect 0 PwrVnc �o�S� • Drink Fn� — Wv Sewcr Mtr
Clothes Wshr • HandSink.... .. . � . - f _ .
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. .. . ._�sSh Fntr�__...
..__._._I�1lory_iruY_.._.. ._._.Lab.Sink. ' • •:-•.- _.._ . - ..... . _
.... . Wtr,Ugege Mtr.
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.. _ . .. .. _.:C3iCb��LM
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. .._..._.... .... Misc F.i�7utes
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�lectric Co�tra�tor(for pr�je�s �ot�equirx�sg an E��arm)
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-Use TIl�at�ira�e Qf'.�%ark _ ...:.------ -............. . . . . ._. ..:.... .. . - . .....
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' SIZC . M�C.^,^�1 'JY`• i* COI171. J e .
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Sanitary Sewer.. . . . . .........:'..�. ... . � .... . . . ....... .. .
' . SLOim Sewer . . .. ' .
Water Service '
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. '. . .. . 06/09' ., ...