HomeMy WebLinkAbout0103589-PlumbingOSHKOSH
ON THE WATER
.lob Address 1150 1152 S KOELLER ST
Contractor BRADEN PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CAPITOL COURT APPLETON LLC
Category 440- Industrial-Interior
No 103589
Create Date 08/14/2003
Plan C5-45-0803-P
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 4 Gar Drain 0
Whirlpool 0 Floor Drain 4 Water Softner 1 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 1
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 3
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 3 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 S Koeller/Starbucks
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 $22,000.00 Plan Approval $0.00 Permit Fees $132.00 ~ Permit Voided
Issued By
Date
08/19/2003
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 2121 SOUTH 55TH ST WESTALLIS WI 53218 - 0000 Telephone Number
414.649.9000
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 o£Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Oshkosh Inspeotions
920-236-S084
AU¢ 13 2003
DEPARmENr 0F O/HKO/H
Plumbing Permit Applioation
p.1
I hereby apply for a pc~ait to do and imtall 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) w/ll 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 ,4ccount System and have adequate £unds, cheek here
i.[you want this processed through your account [~
Owner .. r Ac,Lw Contr.ctor Z' rr rk
[~Single Family [~]Duplex [~Multi-Family n~Rental /~ommercial ~dustrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Op~'. Shamp Sink
Lavatory '~.~- Dishwasher ~ _ Drink FI~I Catch Basin
Bar Sink Water Sofmcr I Exam Sink ~X ~ ~x,x r__._-
Water Heater ~ Local Waste ~.. · ~...,..~ ~.j;l~__ -- Soda Disp
Shower % Bidet F Prep Sink .~ Ice Maker
Electric Contractor
Use 1 Nature of Work
OR
[~]Electric Installation Verification form attached
Sanitary Sewer Size Material Type # Coun. Type
Ston'n Sewer
Water Service
7/03