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
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