HomeMy WebLinkAbout0104408-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 2375 HICKORY CT
Contractor VAN HANDEL, TOM CORP
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BARBARA STRAND
Category 401 - Residential-Exterior (laterals)
No 104408
Create Date 09/25/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
NSFR
Size Material Type # Conn. Type
Sanitary Sewer 0
0
4 Plastic Lateral 1 New
0
0
Storm Sewer 0
0
4 Plastic Lateral 1 New
0
0
Water Service 0
0
1.5 Plastic Lateral 1 New
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $75.00 ~J Permit Voided
Issued By
Date
09/25/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1830 E EDGEWOOD DR APPLETON WI 54913 - 0000 Telephone Number
414-735-1221
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
SEP-24-2003 WED 09:55 AM TOM VAN HANDEL CORP
FAX NO. 9207359662
P. 01
RFr 03 02 05:44a
OshKosh tn5p.c~iO"5^
SZO~236-50e4
p.!
City QfOsbkosb
Inspeclion Services Divi~ion
POBox ) 130
Oshkosh, VV154903-1130
Phone: (920) 236-S050
FlIx: (920) 236.501\4
~
~i$Q'H
Plumbing Permit Application
1 hercby apply for a pennil to do and installlhc follo\Vin~ plurn1>ing OD tbe premises hereinaftcr described, the work to conform 10 the
WisCQfl$in Slale }>lumbin&; COOt',in the l'crfonnllnu of whicb all panics hereto agree to sud Ire bound by said statutes.
~r e-
~inglt: Family
· A)>plicalion(s) and Cee(s) f.:lln b~ broL1ght 10 City Hall, Room 205 or mailed to Imlpection Services, PO Box) 128,
Osbko!;h WJ 54903-1128. Commencing work withoutpennit(s)will result in f~~ being doubled Or $100.00 plus the
nonnal permit fce, which ever is greater.
OR
f' !'Oll (U~ (J C()lIlrt/~/o" parlicimu;nr, in Ihe Permit J."'U! Ar.counl 51's/em and !rave adlUlI,ate ("",ps chttck IUfftt
ifvCJIl waitt 'his ploce,lud 'hrough lieu" Qcctlt,nI n I bO - b? SO .:2 S f _ 0 coo Q
fJ,c,hcJ7 VaIUe(lll\:ludinalilbOf1l!ldlmlCri;&IaJ );) IiO y..:!:..- Date '7. };)'1- <).3
h Ot<ttJ Contractor- ~1I'h U~ IJq..oIr.f C."A~
' f
DMulti.Family ORcatal DCommercial OJndustrial
Number of Fixtures:
n~lrl'ul.l
Whirlpool
Uv:alory
Toilet
R~. Sink
9o:r Sink
W~l(r 1'11:011(1'
rJ Gu: Elfcr ~I
Show.:r
FlOOr !mill
Lndry TIll)'
I.,b Sill k
Pbmr Sink
Sleri!i%o'
Wry SQndp
()i$~~l
Djsll~t.....
S..mp J>lOtnp
lij~lorfGrind
WlIter Sol\ner
toeal W~'lc
Cloll,e.~ Wahl'
Bidel
l:I<<rTap
CI_Si"k
SUrp:llIlli Sink
Breakr", Si/lK
DelllOp:t. Shamp Sink
Dip Weh flr/W41 Sink
OrinkFlIl CQI;h ~i"
W:iiL s.. WasllFla
Ice Chat Urinal
EumSink GlITOr3i"
Scull)' Sink Sod:lDiIp
Hand Sink CutrClC: Maj(er
F Prep Sink ,(\:' Maker
St:~ Si/lk Site Or.lin
llll "=1( r""" Roof'Drain
Elll OrC1Je Trap Slil,ldj)~
Electric Contra~tor
OR
DEltetric Installation Verification form attathed
. (If.Rl:pl:lCemCnl)
Use I Nature of Work
Size Material Type tI Conn. Type
Sani'ary ~Wl;;t '/ ., PI}L
Sl.C)rJl) Sewer <.(~ PUc.
W~tcr Snvicc J.. ".eo ;.
)/02
APR-B3-2002 10:25 920 236 5084 9.2"';' p.eu
SEP-24-2003 WED 09:55 AM TOM VAN HANDEL CORP
FAX NO. 9207359662
P. 02
;':.';'.:.,;;:tg
City of O$l\kosh
Inspection Services Division
POBox 1130
Oshkosh. WI 54903-1130
Photic: (920) 236-5128
Fax: (920) 236-5084
www<cLoshk9$h.wi.us
~
OfHKOJR
ON r..E WATEi
~":~'..<'.' '. ::..~:~:~.~ :::.~~ ,; .~~':'. :::: '.~ ;;;:'~::;,~~ ~.:..~~~:~:.;f,'~..:;=.:~", . ~. ..
Inspection Re~J
':.:~ .... ,L ;'"~'~::.:::;::~_~;?;~.'- ~ 23?~ ,'-)/,"e:-k~~.,'. 67-(
Nature Ofwork:".s ~ IN Ie. te.ro...(s
~
uested:
ELECTIUC:
RoII&h
Service
Temp_Ptllll_
UQ_OH
Rc-illsp.
FinAl
PLUMBING:
1\0000h
Ulllkrsr0un4
WOller Sol\cncr
Waitt" Haler
ScwcrlWalCr ~
R~.",5P'
F;...I
EJt.OS10N eo/'lTROL:
Traekiu
Silt Fence
Sloat Aceeu
Scraw Bale~
Re-ltip.
FinaL
"
~ ,
; ~
~
.:. Access into Building (lfbuilding is secure, how do we gain entry)
Reguestin~ Partv Information:
j) I /"c.,.. S'c..,
".
.:.
.:.
;.
I~ame:
Pbone # " 3 '7 l.) .!3
**"'* .Un!!!!;l' specified otherwis;, w.e wm assume the project ~ r:':.' '\~,!", the time the request is received. Work may
conlinae if the insp~ction is not perform,ed.within t'lIoIO bu~t~ss days from the time the project is ready_
YOUR ATTENTION IS CALLED TO THE FOLLOJlllNG: .'
)0 Inspections shall be perfonned within 2 business days after the work is completed and proper notification
has been received. This'means that 2 days must be provided from the time the project is ready for the
inspection, not 2 days prior to the inspection being ready. Please note the City of Oshkosh Municipa.J Code
allows a $100 re-inspection fee to be charged fOT the following situations: an inspection is conducted and it
is detenninc:d that the project Was not ready for the inspection, a re.inspection is conducted to verify
violations and the violations are not corrected, ~he same violations have been found numerous times for the
same contractor and/or homeowner, or if no access is provided to the job. Construction shall not proceed
beyond the point of the inspection until the inspection has been completed and passed. Inspections will be
conducted as soon as possible after proper notification is received.
, ,....
3/0:
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