HomeMy WebLinkAbout0104368 POSHKOSH
ON THE WATER
Job Address 2450 SECURITY DR
Contractor HOMEOWNER
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 104368
Owner SCOTT D LUDWIG/KASI L KRAUSE Create Date 09/23/2003
Category 402 - Residential-Exterior (other) Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install underground automatic sprinkler system.
of Work
Valuation
Issued By
Storm Water
$2,500.00
Size
Material Type #
Conn. Type
0
0
0
0
0
Plan Approval
$0.00 Permit Fees
$20.00 L~ Permit Voided
Date
09/24/2003
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 339 P107N WESTHAVEN DR OSHKOSH WI 54904 7435 Telephone Number
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.
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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
R C IVED
9 z00 O/HKO/H
ON THE WATER
P' ..
lummng
I hereby apply ~or a pe~t to do and install the following plmbing on the presses herei~r deschbed, ~e work to cnnfo~ to ~e
Wiscons~ State Plumbing Code, in ~e pe~omnce of which all pa~ies hereto agree to ~d are bound by said sta~tes.
· 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
lf you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed throuRh your account
Job Address ,Q/tff-O oCt:coZaCT'~ ~. Value (ln¢ludi.gIabor and martials) ,~23-- - Date
Owner ~,r-r- ~UO,.-,~z:~ Contractor 0~/~- / c- /~c-
[~Single FamilyL [~Duplex U-]Multi-Family [--]Rental
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fm
Toilet Sump Pump Wait. St-
Res. Sink Bjector/Grind Ice Chest
Bar Sink Water SoOner Exam Sink
Water Heater Local Waste Sculry Sink
~3 Gas ~ Elect ~3 pwrVnt Clothes Wshr Hand Sink
Shower Bidet ~ F Prep Sink
Floor Drain Beer Tap ~ Serv Sink
Lndry Troy Classrm Sink Iht Grease Trap
Lab Sink Surgeon} Sink Ext Grease Trap
Plaster Sink Breakrm Sink tLP.Z. Valve
Sterilizer
J--]Commercial
~]Industrial . .
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Sm
Electric Contractor
Use / Nature of Work
OR
Sanitary Sewer
Storm Sewer
Water Service
Size
(If Replacement)
[-~Electric Installation Verification form attached
Material Type # Conn. Type
7/03