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Home My WebLink About0104579-Plumbing (water heater)OSHKOSH ON THE WATER .lob Address 610 STARBOARD CT WEST Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JAMES L KASARSKY Category 411 - Residential-Water Heaters No 104579 Create Date 10/06/2003 Plan Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 CIothesWshr 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 1 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 MULTI-FAMILY/ 610 D/Replace electric water heater. *EIV form from Zimmer Electric. of Work Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $425.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 10/06/2003 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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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 POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKO/H ON TNE WATER 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 I 128, Oshkosh WI 54903-1128. Commencing work without permit(s) ~vill result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR lf Fou are a contractor participatin~ in the Permit Fee Account SFstem and have adequate funds, check her~ i_f Fou want this processed through Four account [~ Job Address ~/~ D .~',~aaJ~.oa,,ao C/' Value (lncludinglaborand materials)~ Date Owner Contractor ,~,c~.x~,~.'~e_ ,~r~.,~/.~/~. [~Single Family [~Duplex []/VIulti-Family [~]Rental r-]Commercial [~]Industrial Number of Fixtures: Bathtub Lndry Smndp Dent. Oper. Shamp Sink ~airlpool Disposal Dip Well Flr/Wst Sink Lavatory Dishwasher Drink Fm Catch Basin Toilet Sump Pump Wait. St. Wash Ftn Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Softher Exam Sink Gar Drain Water Heater / Local Waste Scurfy Sink Soda Disp ~ Gas li~Elect 12 PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Electric Contractor ,OR Use / Nature of Work .~-~_~,~_.~-~,~-, Sanitary Sewer Storm Sewer [-]Electric Installation Verification form attached (If Replacement) Size Material Type # Conn. Type Water Service 7/03 Cily of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Electric Installation Verification i (w6) (Electrical Contractor Name) (Address) (City) have been contracted to perform electric installation work for at the following address: (State) (N fparty contracte~d to) (Address where work will be Derformed) (Zip Code) The nature of the work consists of: (Check One or Describe the Nature of Work) __ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. ~ Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. ~ Rec°nnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. __ New circuit for the addition of A/C to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. __ Other The value ofthis work is $ a~, ~, 06> I hereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code require~. cer)'~ (Print Name of Officer) (Date) 5/02