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OSHKOSH
ON THE WATER
Job Address 500 S OAKWOOD RD
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
118501
Owner MERCY MEDICAL CENTER OSH INC
Contractor TWEET-GAROT
Category 440 - Industrial-Interior
Create Date 03/02/2006
Plan
Bathtub 0 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink -------2 Coffee Maker -------2
Whirlpool 0 Floor Drain 0 local Waste -------2 Ice Chest -------2 FlrlWst Sink 0 Int Grease Trap -------2
lavatory 0 lndry Tray 0 Clothes Wshr 0 Exam Sink 2 Catch Basin 0 Ext Grease Trap -------2
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZValve 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink -------2 Urinal 0 Eye Wash Statn -------2
Bar Sink -------2 Sump Pump 0 lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters -------2
Site Drain -------2 Breakrm Sink 0 DipWell -------2 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs -------2
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp -------2
Misc. 0
Fixtures
Use/Nature
ofWork
INSTALLING 2 EXAM SINKS ON THIRD FLOOR
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 Parcelld #
0 0613660000
$5,725.00
Plan Approval
$0.00
Permit Fees
Valuation
$20.00 0 Permit Voided I
Issued By
Date 03/13/2006
In the performance of this work, I agree to perform ali 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 perfonm the work
described in this penmit application within an easement, the City strongiy urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address PO BOX 11767
Agent/Owner
GREEN BAY
WI 54307 - 1767
Telephone Number 414-498-0400
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.
"",. Ii commerce.wi.gov
~ 1!E9Jl!1!:!
Safety and Buildings
R. E C E .YE 01340 E GREEN BAY ST STE 300
& SHAWANO WI 54166
TOD #: (608) 264-8777
, www.commerce.wLgovlsbl
FEB 2 2 2006 www.wisconsin.gov
DEPARTMENT OF
GOiViMUNl1 Y UI::VI:.LuPME~T
Jim Doyle, Governor
Mary P. Burke, Secretary
February 20,2006
CUST ID No. 882574
Ar¡:N:~7jrn:.fi Tnspector
TIMOTHY A CAYER
TWEET GAROT MECHANICAL
2545 LARSEN RD
GREEN BAY WI 54307
BUILDING INSPECTION
CITY OF OSHKOSH
POB 1130
OSHKOSH WI 54902
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 02/20/2008
ITE:
Mercy Medical Center
500 S Oakwood Rd
City of Oshkosh, 54904-7 4
, ire Dept ID: 7005
FOR:
Object Type: Plumbing System, Building Specific, 3" Floor Regulated Object lD No.: 1060575
Hospital, Nursing Home, or Ambulatory Surgical Center; Plan Type: Addition-Alteration; 2 Interior Fixtnre(s)
Identification Numbers
Transaction 10 No. 1236765
Site ID No, 505128
Please refer to both identification numbers,
above, in all corresDondence with the a"encv.
Object Type: Interior Sanitary Drain & Vent System Regulated Object lD No.: 1060579
Object Type: Interior Water Distribution System Regulated Object lD No.: 1060580
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01 (I 0), Wisconsin Statutes, is responsible for compliance with all code requirements.
No person may engage in or 'work at plumbing in the state unless licensed to do so by the Department per
s.145.06, stats.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspeetors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/instal I ati on/ operation.
In granting this approval the Division of Safety &, Buildings reserves the right to require changes or additions shouLd
conditions arise making them necessary for code compliance. As per state stats 10 I. ]2(2), nothing in this review
shall relieve the designerofthe responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone nllmber listed below, or at the address
on this letterhead.
Fee Required $
Fee Received $
Balance Due $
100.00
]00.00
0.00
Sincerely,
¿:~~
Curt Wendorff
Plumbing Plan Reviewer, Integrated Services
(715)526-9056, M-r 7:15 -17:00, F 7:15 - 11:]5
curt. wendorff@wisconsin.gov
WiSMART code: 7657
cc: James E lickert, Plumbing Consultant, (920) 948-7336
Thomas Laabs, Mercy Medical Center