HomeMy WebLinkAbout0119451-Plumbing (cap laterals for raze)
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OSHKOSH
ON THE WATER
Job Address 1239 BAY SHORE DR
CITY OF OSHKOSH
No
119451
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GERALD JIDIONE GUNTHER
Create Date 05/10/2006
Plan
Contractor ZILLGES EXCAVATING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Shower
Floor Drain
LndryTray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Category 401 - Residential-Exterior (laterals)
Water Softner Wail.SI. Shamp Sink ~ Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
~
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Roof Drain
Misc.
Fixtures
Use/Nature Cap sewer and water service for raze permil. Utilities will be reused for new construction. (Debit Account)
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
4"
Material
Iron
Type
Lateral
# Conn. Type
1 Aband
1"
Copper
Lateral
1 Aband
Parcelld #
0803930000
$500.00
Plan Approval
1800 FOUNTAIN AVE
$0.00
$25.00 0 Permit Voided I
Permit Fees
Date 05/10/2006
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 an necessary approvals before starting such activity.
Signature
Address
Date
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Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number 376-1005
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.
REQUEST FOR EXCEPTION TO REQUIRED
SEWER AND WATER ABANDONMENT REGULATIONS
Date
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Address of building
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Name of Owner
Address of owner
The undersigned Master Plumber requests that the requirement for abandonment of the
sewer and water laterals for this address not be required to meet the ordinance for
abandonment at the property line before raze or removal of the served structure. (Check
one or provide Information)
. The utilities will be reused for new construction at this site within twelve months of
[i] the date of request for exception. If the utilities will not be reused within this time
frame they will be properly abandoned at the property line per ordinance
requirements no later than twelve months from date of this request.
. The utilities will be properly abandoned after the structure is removed to make the
D utilities accessible for abandonment. The utilities will be secured against damage
during demolition and until they can be abandoned to meet the requirements of
ordinance. (Not to exceed 60 days)
.
Other reasons for the requested exception:
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(Contmue on the reverse SIde of fonn If necessary)
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Date
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Master Plumber
Master Certificate Number
Mailing address
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Approved:
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