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HomeMy WebLinkAbout0159011-Plumbing (interior) /�"� CITY OF OSHKOSH No 159011 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER (a_(Q-�3 W Job Address 795 WEATHERSTONE DR Owner PAUL&SUSAN PENZENSTADLER Create Date 11/19/2013 Contractor LARRY HANSEN PLBG Category 410-Residential-Interior Plan Inspector Jon Mueller Bathtub 1 Clothes Wshr 1 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 2 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump 1 F Prep Sink _ 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 5 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 4 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p Disposal 1 Gar Drain 0 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 1 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 1 Use/Nature NSFR/2 story home with a 3 car attached garage. The basement is unfinished and seperate permits will be required of Work in the future if additional work is done. An encroachment agreement is required per DPW for the driveway section that Iruns over the easement. The driveway apron will need to be adjusted to provide at least one foot of full curb head �hetween the proposed driveway and the existing driveway to the south. Plans will need to be submitted to DPW for �pproval. I _ _- ---- _-__ _ _- --— -- Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1219750000 Valuation $10,070.00 Plan Approval $0.00 Permit Fees $189.00 ❑ Permit Voided I Issued By Date 12/09/2013 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 N lo4y Tower Vi�eW O,r A�,°,�,"'.ik S�i9N�. Sb83 q:io-�5?-l08103 Address °DO,,. '�:. WI 5�39a� -6�+W Telephone Number �39-A�'�95 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. f � CITY OF OSHKOSH � � No 159011 . 4 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 795 WEATHERSTONE DR Owner PAUL&SUSAN PENZENSTADLER Create Date 11/19/2013 � Contractor HANSON QUALITY PLUMBING Category 410-Residential-Interior Plan Inspector Jon Mueller Bathtub 1 Clothes Wshr 1 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 2 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump Lavatory 5 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 4 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. p Fixtures Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 Disposal 1 Gar Drain 0 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 Floo�Drain 1 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 1 Use/Nature NSFR/2 story home with a 3 car attached garage. The basement is unfinished and seperate permits will be required of Work in the future if additional work is done. An encroachment agreement is required per DPW for the driveway section that runs over the easement. The driveway apron will need to be adjusted to provide at least one foot of full curb head between the proposed driveway and the existing driveway to the south. Plans will need to be submitted to DPW for pproval. � _ � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service : Parcel Id# 1219750000 Valuation _ $10,070.00 Plan Approval $0.00 Permit Fees __ $189.00 ❑ Permit Voided Issued By ��n ,��,�uyyq�j, Date 12/09/2013 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 550 N BLUEMOUND RD APPLETON WI 54914 -5748 Telephone Number 730-0205 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 O I--IKa H E ' ON THE WAFER 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 If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here � i�you want this processed through�our account n ` **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical ° Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted : with the permit application. Applicarions submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address�� 1V�-�-'�]�e�"'� �'-�•VAIUC(Including labor and materials) �L l��v�oO Date��-0�t� Owner 1��nz en�-a d I e r Contractor -�.[1S2n �(�,YYl IJl r1 C� , �n� • �f Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial /� Number of Fixtures: Bathtub � Sump Pump � Plaster Sink Roof Drain Shower � San.Sump/Pump Scullery Sink Soda Disp Whidpool Water Softener Service Sink Cof�'ee Mkr Lavatory 5 Standpipe Rec Shamp Sink Site Drain Toilet "I Garage FD Surgeons Sink Waitrs Stn Kit Siuk � Local Waste Sterilizer Ice Chest � Disposal � Bar Sink RPZ Valve Comm Ice Maker Dishwasher � Breakrm Sink Bidet Int Grease Trap Floor Drain � Classrm Sink Urinal Ext Grease Trap Hose Bibb � Exam Sink Beer Tap Eye Wash Stn Water Heater � F Prep Sink Dipper Well Deduct Meter �Gas�Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr ; Clothes Wshr � Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures � 2 Electric Contractor(for projects not requiring an EIV Form) � Use/Nature of Work �� C(�'(1������ Q`(� Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09 j