HomeMy WebLinkAbout2013-Plumbing (water heater) � CITY OF OSHKOSH No 158874 ;
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 752 PROSPECT AVE Owner PINE MOUNTAIN INVESTMENTS LLC Create Date 11/21/2013
Contractor JOHN D RANSOM Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 0 Classrm 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 RP2 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 G�ease 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 'SFR/replace water heater
of Work :
"debit Kitz 8�Pfeil acct"'
�
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcet Id#
0503660000
Valuation $599.00 Plan Approval ____ $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By � 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 W5056 PARADISE LN FOND DU LAC WI 54935 -9662 Telephone Number 920-922-1987
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.
HU, NOV, 21. 2013 02: 14 PM KITZ&PFEIL OSHKOSH FAX No, 920 236 3348 P, 001
c�ri of os�o� . .
Inspcction Services Div�sion ,�� •
P O Box 1130 • �.
Oshknsh,WI 54903-1130 � . ' �
Phone:(920)236-SOSD . .
Fax:(920)236-5084 . ..• '
.,: � ,om r+ wxrEa .
Piumbing Permit Applicafion �
I hereby apply for a permit to do and inetall the follovving plumbing'on the premises hescinaf[ex.descnbui,the vvork to conform to tha
•Wisconsin State Plws►bing Code,in thc pciformaace of which all par(ies here�to agree to and aYe bound b}�said statutcs.
� Applicatiou(s)and fee(s)can be brought to City T3a11;Roo1�205 or mailed to TnspeMio�Services,PO Box 1125,Oshlcosh V✓I
' S4903-1125. Comm�ncing work vvithout pe.r�►it(s)will zesult in fees being doubled or$100.00 plus the norma]pesmit fec,which
ever is greater: •
� OR � � � � •
If vou are a contractor parti,ctpating in fhe PermEi Fee Accaun� S ste and hpve adeau¢re funds. check her�
i�vou wp t this procersed throu�h. vo� o.ccou.n.t � '
'"*A.dvisory-For applicable projects, an Elecbrical Installatiion Vezif`icati,ou(EI�form, si�ed by the Electrical
Conrractor or Homeovvner(for installations'allowed w be performed�q the hotneownez)mnst be submitted
with the pezmi�application. Applications snbmitCed withont an EIV�vhen such is reqnired, vai11 not be
' pz'ocessed for Permi.t Tssaance ancl will be xehyrned foX completion. . � � ;
� �ob Address �7so� � o SP�� 'Valae�s�i�¢�a�o��a�ce�� .�9 � � _ Aste,l�—l�
. OWner �R�A N P�� 2 o n7 , Contracfor _,��� QYl S�nn� � -
�Sixtgle Family []Duplex []Multi-Family [�Rental []Com�ercial� DImd�s�al _
hYrimber of Fixtures: � � � � �
s�� n�i n�x�m � c��a�s;�
WtiaSpool Aisbwasher Wau.SG WashFm
Lavatory S1�mp P�P � � Tca Chcst 'LTrinal
Toi1Ct P.jr�roz/QiC3nd . Pxnm S9bk, Gar Ihriia
Rts.Smkk VJatcr Soimer • Sonlcy Sink . SodaAi9p •
• l9ar Sm� ' • �.ocal'OVaste. Hand Smk ' Coffee Maker . "
• Wace�T�eaYer `� Clothes'DVshr � F Prep Smk • Comm Ite Mskc
• �8',GesDSlecrOFwr'Vnt BideC ServSink Siiellraia "
' �p°70� Berl Tap � ' Inc Groese'Ilcap Roof bcaia
� Fioorlknia � Cla&am Slqk Ext Oreese TYap Smndq ILx ,
1°�'�Y , Snrgeoffi Sialc . RPZ.Val'va . Eye Wash Sta
Leb Sink Brealano Sink Shanag Sink Vi'tr Sercver Mas
Plastu Smk bip Well Flr/'GVst Siak • Acduct Metars
� SEailizer �Inse Bbs� . ' . � Wtr Usage Mtrs • . .
2�Sisc. • ' • �. ' .
blxiures � ' •
,E,lectric C�ontractor (for proj ects not reqniring a�a EI'��Form) �
Use/Natare of Work 9r"�Q�AC� ��c�c�,r �np�,e►r
5ize Mstesi�. Type # . Conn.,Type � *,�*�***�t�
Sanitsry Sewex PLEASE USE `i�FlE
. . . , . � KITZ,& PFETL
� Sto�Sewer • , � . �'1'.
�. � � " � 'z'hank XOU!
'�Jat�Scrvice
• • NAN
� � - � � � , s8�y � . 070, .�