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Home My WebLink About0119777 P e OSHKOSH ON THE WATER Job Address 1140SKOELLERST CITY OF OSHKOSH No 119777 PLUMBING PERMIT. APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner K F INVESTMENTS LLC Create Date 05/31/2006 Category 440 - Industrial-Interior Plan FIL-188-0506-P Water Softner WaitS!. Shamp Sink - Coffee Maker Local Waste Ice Chest FlrlWstSink 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 Contractor JiM'S PLUMBING & HEATING INC Bathtub Whirlpool Lavatory Toilet Res, Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature ofWork Valuation Issued By INTERIOR GREASE TRAP REPLACEMENT PER APPROVED PLANS."DEBIT ACCT Size Material Type # Conn, Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1308490600 $3,500.00 $0.00 $20.00 D Permit Voided I Plan Approval Permit Fees Date 05/31/2006 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfonm the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Address W6166 GREENVILLE DR . Date AgenUOwner GREENVILLE WI 54942 - 0000 Telephone Number 920-757-5258 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. -~ ~ OJHKOJH City of Oshkosh Inspection Services 215 Church Ave., PO Box 1130 Oshkosh, WI 54902-1130 (920) 236-5049 (920) 236-5106 FAX ON THE WATER JIM'S PLUMBING AND HEATING INC. W6166 GREENVILLE DR. GREENVILLE, WI 54942 May31,2006 Ref: Plumbing Plan Approval: TACO BELL (INTERIOR GREASE TRAP) 1140 S. KOELLER ST O$HKOSH,Wr54902 Plan 10# FiI-188-0506-P Dear Sirs, Examination of the plumbing plans and specifications for this project has been completed. In accord with Chapter 145, Wisconsin Statute, and COMM 81 through 85, Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon compliance with the stipulation(s) noted below. 1. Interior grease interceptor shall be located in an area to provide necessary cleaning and repairs. COMM 82.60. 2. Pre-wash and wash compartment of a scullery sink shall discharge to a grease interceptor. Wastes from a food waste grinder or a sanitizing compartment may bypass the interceptor. COMM 82.34. In the event installation of this plumbing system has not commenced within two years from this date, this approval shall become void. A new application accompanied by full examination fees shall be filed and an updated approval received before work may commence. In granting this approval, the City of Oshkosh or its representative does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation. The City of Oshkosh reserves the right to order changes or additions should conditions arise making this necessary. It shall be necessary for the installing plumber to obtain a plumbing permit from the City of Oshkosh before proceeding with actual installation of this plumbing system or any of its parts, Rfij vi Paul Wolf, Plumbing Inspector ,- ? ~ .. ~ -- ::, ~~~~; '-'J "'I . ~ e, '" M '" '" ~ " I", i' )( <::: x - ¡v, ~ ri )( I"., ~ M <r ;,0 r'\ \..., f' >< '" '" ~ r-> rot ....¡ >< rI '- MAY 3 a 2006 . -""""""." " .- "... "" ,,"r-, &::". '" Or,,'>, """""".,,""" . - 'i\"~ co' ',"'" '. \;, D£\lEl()tð1;ef~T IX: o..:r; """ ~ :è.:' <¡L.IJ~« . ~J' fof ~~š:~~ É : :v'«e::,L.IJ f. ~ .~', <-' :><: 0 z, .' \~\ ...' '" "'" ,."., "" <:1 ..." 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"'f \\ ~ , ¡ 0 ". ! \.},~ N I. , : ...: "" N "'", f ' ì . ~ ~ ~~--¡\ \-.~, : .~ 'J~ ' ~ e OSI-'IKOSH ON THE WATER Job Address Approval Type Oshkosh Plan Approval Form 1140 S KOELLER ST Plumbing Submitter's Name JIMS PLUMBING Address Owner Name Approval Number 1638 Plan FIL-188-0506-P K F INVESTMENTS LLC Address 288 E JOHNSON ST FOND DU LAC Fee Type of Plan INTERIOR GREASE TRAP Date Received $70.00 WI 54935 05/31/2006 3632 Date Approved 5/31/2006 . "'Î;~~~;;~ "':i.J L.- of Conmærce Safety & Buildings Division Bureau of Integrated Services APPLICATION FOR PLUMBING REVIEW AND CROSS CONNECTION ASSEMBLY REGISTRATION -Complete all pages- NOTE: Personal information you provide may be used for secondary purposes [Privacy Law $. 15.04(1)(m), Slats.] it~Jt:" ~ F'.IiI.~APF" GEl\lfRA,...,Ii!PlWM,.. ~'.'.,.P':':~ rn'~:'",cP ~,= ~ '! l~ MAY 3 0 2006 This form may be utilized for fax appointments. Indicate date plans will be in our office: _May 30, 2006 Circle your choice of office: 1.NextavaHableapptln any office 2. G"'.n Bay 3. HaywaRl 4. LaCrosse S. Madison 6. shaÜtJ!p~ti'vir-NT 11F E Mail Schedullno PlanSchedu""",,,ommerce.state.wI.us Toll-fax numbe,'"??) 840-91- ..~-; .," ::. "'~ 1, Complete for confirmed appointments": ' U:..' U.\.h 1;11 . Transaction 10: Pl/...' /2.1? -OoH,-f Prev;ous Related Trans, 10: For next avaiiable appointment, plan status checks, see our website at Ass;gned Reviewer: http://www.commerce.state.wi.uslSBlSB- DivReviewSiatusSearch.hmtl. Assigned Office: Review Start Date': 'Plans must be received in the office of the appointment no later than 2 worklna davs before the confirmed aooointmenl 2. Project Infonmation - Fill in all known information ProjecUSlte Name Taco Bell Remodel Number & Street 114üS.KoelIerStreet County w,nnebago (x) City () Village ()Townof Oshkosh 3. Mailing Informatiorl Afte, plans a... ....-ed, please: (check all that apply) - Call CUstomer " 2,jJ (~rclenumber)' _MaH plans to custom'" " 2, 3, (~n:le numb.,.¡- _Requesting party will pickup. 'R.- to "".om~ H...rl ""'~ 4. Complete the following customer infonmation in the boxes below. D.,.;goer I.fe......e. (Costeme, I) (pe..... whe stamped the plan) Otb""PI~..S""'fy (Custom... 3) Reo.enl.g.."" ~- Kru.... 232264 _Jd"f Uj..wo~ki 223362 FintN"", "",N"", C-=eConom..-N="" HmN"", ""'N"", Comm=Co""m...N_" - Krug... En""""'g LLC _Ju""PI=mngmdH~lingln,. ComponyN"", Comp"'YN"", ~7S5Ficl"""'Dri" _W6166 Grecn,;II,Dri" Addre.s Addre.s N"""" WI 54956 - GrecnWl, WI 54942 Œy Sm" Zip+4(9<tigi~j Œy S..., Z;p + 4 (9 <tigi~) _(920)-72<)'@58 (920)-729-98£2- _(920)-757-525' (Are. Cod,) Phone N="" F~N=h" (Area Code) Phoo, N="" F~N="" -krogorengi""""g@s"'globalnct ...ill"'d"" cnmil"""'" Hav,yo.s"¡'mittcd pI... m "',I",y<='l (x)Y~ ()No Owoer Inf.....a.o. (CnstemerZ) Make cbecks payable to Dept. of Commerce, Attacb cbeck bere. F""N"", ""~N"", Co~ Co~om... N="" _T=>Bdl ComI"DyN..., I140S.Kocll"SUCCt Addre.s _OsUl<osU WI 54901 Diy State Z"+4(9_) Total amount due (From Page 3) $_70,00- Minimum Fee $60,00 (McoCod,jPuoo,N="" F~N="" Revenue Code 7657 cnmil"""'" ~IT TIllS FORM IS VALID THROUGH MARCH 2006 "R[).I("",. ""17M.", SUBMIT ADDITIONAL PAGE 2 FOR EACH NON-IDENTICAL BUILDING OR TENANT SPACE BUILDING SPECIFIC INFORMATION ( ) New (x) Addition/Alteration ( ) Revision to Previnusly Approved plan where approved construction has not been completed ( ) Structure is grealÿr or equal to 3 stories in height () Project is Apartment/Condo only ( ) Healthcare Related Facility ( ) Multi Ie identical buildin Number of identical buildin bein submitted OTE: same site Indicate Buildin /Tenant Des! nation for ,Each Buildin and/or Tenant S ce Attach Additional Pa es ifNe Building/Facility Name/Designation Previous Tenant Name BuildingfFacility Ad 15. . Fee Computations (doubled for i~l!atJ.o 6. Item Description -Indicate items included with this submittal approval) (Check appropriate box and':.WtWI.!.\J for this building fees separately for each building. ( ) Chemical System (Not Eyewashes) I ) Cross Connection Control Assemblies in Health Care Related Facilities to be reviewed ( ) Request to Register Cross Connection Control Assemblies in Non- Heafth Care ( ) Water Reuse System - () Water Reuse System - s1ormwater for ex 'mental blackwater interior use ()WaterReuseS_m- ()WaterReuseS_m subsuflace '" ater ini ation 7. BUILDING SPECIFIC SANITARY: Select ONE of the followln six 0 ons and enter the corres ondin diameter or Dralna e Fixture Uniis DFU and enter fee 1. I ) Inlerior Sanitary Drain & Vent System and Exterior Sanitary Building Sewer 2. I ) Interior Sanitary Drain and Vent system only. diameter or GaOeos Per Minute GP and enter fee Diameter of exterior water service in inches, or if serving a combination domestic and fire sprinkler system, diameter of interior water distribution immediately atterthe meter or at the buildin control valve in inches... x $40 Diameter of interior water distribution immediately after the meter or at the buildin control valve in inches. x $40 Diameter of exterior water service in inches.. _x $25 GPM added or relocated See fee table 2 on page 4 to convert GPM to a fee Indicate the total number of interior fixtures, including roof drains and hose bibs being submitted for this building. 1 Ix) Grease Interceptor ) Garage Catch Basin ) Oil Interceptor ) Car Wash Interceptor ) Sanitary Dump Station 3. I ) Exterior Sanitary Building Sewer(s) only. 4. ( ) Interior Sanitary Drain and Vent system within an addition or remodeled building. 5, ( ) Mu~iple exterior Sanitary Building Sewers serving the single building, and the interior Sanitary Drain and Vent system 6. ( ) Interior Sanitary Drain and Vent System wilh multiple building drains exiting the building, no exterior sanitary building sewers 8. BUILDING SPECIFIC WATER: SeleetONEoftbefellewlli sixo tionsandentertbecorres ndi 1. I ) Interior Water Distribution system and exterior Water Service 2. ( ) Interior Water Distribution system, no exterior water service 3, ( ) Exterior Water Service{s), no interior Water Distribution system 4. ( ) Interior Water Distribution system wilhin an addilion or remodeled building, no exterior Water Service 5. ( ) Multiple exterior Water Services serving the single building, and the interior Water Distribution system 6. I ) Interior Water Distribution system with muttiple services exiting the building, no exterior Water Services Number of Grease Interceptors... _1_x $70.00, no addilional fee if submitted with Sanita Drain & Vent Number of Garage Catch Basins..._x $70.00, no additional fee if submitted with Sanita Drain & Vent Number of Oillnterceptors..._x $70.00, no additional fee if submitted wilh Sanita Drain & Vent Number of Car Wash Interceptors,.._x $70.00, no addilional fee if submitted with Sanila Drain & Vent Number nf Sanitary Dump Stations..._x $70.00, no additional fee if submitted with Sanila Drain & Vent Number of Chemical Systems... _x $70.00, no addilional fee is submitted with'Sanita Drain & Vent Number of Cross Connection Control Assemblies... _x$125 70.00 Number of Cross Connection Control Assemblies... _x$125 $120.00 minimum for each reuse system. (NOTE: Addilional fees will be charged at $601hr if review time exceeds 2 hours.) Diameter of sanilary building sewer(s) in inches.- x $40.00 Diameter of sanitary building sewer, in inches, required to serve thebuildin. x $40 Diameter of sanitary building sewer(s) in inches.- x $25.00 - DFU's new, added or relocated See fee table 1 on page 4 to convert DFU to a fee DFU's new, added or relocated See fee table 1 on page 4 to convert DFU to a fee - DFU's new, added or relocated See fee table 1 on page 4 to convert DFU to a fee GPM See fee table 2 on page 4 to convert GPM to a fee GPM See fee table 2 on page 4 to convert GPM to a fee Page Fee Subtotal _Number of Identical buildings X above Fee Subtotal Fee subtotal (carry to bottom of Page 3) _70.00- 9. SITE SPECIFIC INFORMATION: Check and complete diameter infonmation if included in this submittal SANITARY ( ) Submittal of Sanitary Private Interceptor Main Sewer Indicate the number of independent connections to the munici al sewer or POWTS WATER ( ) Private Water Main Indicate the number of independent connections to the munici al water main or well ressure tank STORM - All Storm piping is considered site specific. If the plan includes subsurface infillration submit only to Green Bay, laCrosse, or Hayward. If the submittal is only subsurface infiltration you may also submit to Madison. ( ) Clearwater drain system without an interior stonm drain system If designing to meet NR151 Standards, what is: ~ Allowable discharge from plumbing system (cfs or gpm) ~ Stonmwater final effluent values (grease and oils, TSS, bacteria, etc.) 10. lithe submittal is for a Mobile Homes Park and/or Campground/ Recreational Vehicle Park, indicate the number of sites and enter fee: Mobile/Manufactured Home Park and/or Required MobilelManufactured Home Park and/or Cam round/Recreational Vehicle Park Fee Cam round/Recreational Vehicle Park ( ) 1-25 Sites $300.00 () 51-125 Sites 26-50 Sites $350.00 Greater than 125 Mobile Home Park and/or Campground/Recreational Vehicle Park submittal includes: ( ) Sanitary Dump Station Indicate total number of exterior fixtures such as storm drain inlets submitted with this application Check all that apply ( ) Interior stonm drain system with a clearwater drain system (If submitting interior stonm 2!lli, use the roof area to detenmine the drainage area for fees.) ( ) Interior storm drain system without a clearwater drain system (If submitting interior stonm 2!lli, use the roof area 10 detenmine the drainage area for fees.) ( ) Sionm Building Sewer ( ) Stonm Private Interceptor Main Sewer ( ) Storm water and/or clear water Subsurface Infiltration for Public Building submitted with or without a stonm piping system Stonm System Infillration volume (gal or cf) Select Green Bay, Hayward, or LaCrosse offices for plans with infiltration and other plumbing systems. If submitting Infinration separately you may select the Madison Office. ( ) Exterior Sanitary Sewer ( ) Sanitary Private Interceptor Main Sewer 11. OTHER FEES ) Experimental Plumbing System (Submit to Madison Office) ) Mernate Plumbing System (Submli to Madison Office) Subtotal From Pa e 2 Drain.n. are. served by the slonm plumbing system is: (Check one and enter corresponding infonmation) A. ( ) Less than or equal to 1 acre drainage to the plumbing system with a single discharge point - diameter at discharge point in inches X $10nnch B. ( ) Less than or equal 10 1 acre drainage to the plumbing system with multiple discharge points _Total GPM discharge, See table 3 on next page. to convert GPM to a fee C. ( ) Greater than 1 acre drainage to the plumbing system. Acres See table 4 on next page to convert acres to a fee, NOTE: Maintenance Ian submittal re uired If this submittal is infinration WITH storm, indicate $100.00 in the fee column. If submitting infillration WITHOUT storm, calcutate the corresponding fee in A, B, or C above as if you were submitting those elements and enter here_. Add $100.00 and enter the total fee in the fee column. $10.00Iinch diameter of each clearwater drain system RequIred Fee $400.00 $500.00 ( ) ExteriorWaterService ( ) Private Water Main $100.00 $75.00 Required Number of Experimental Plumbing Systems...- x $500.00 Number of Alternate Plumbing Systems... - x $400.00 70.00 ,~ /)v' ~ '3 -.9 \ ~ , ZOOIZOO IØ ~ l'f VD (-Nit f~ ~iJ .~\ ~ ~ ) crö , .,.~ ,/'------,\ ~¡¡ - /--'\ 11: r==' " I ~~ > '" h "- --" g~ ~~ ~~ ~~ ~i ~I~ ,- ~IJi, 4~: :UI ' ~ '- , \_-----,/ :-;-' Œ ~ g mF\ r i:! ~ ~~ ,," ~~ ?e ~ f ;< 0 -If;) Y -=~~ ÐNIHIIflld S.IiTr r§ ~ .. IlJ .2.1 I @ ¡J.t!!¡æ ~I ¡;;¡¡¡ '" t¡; ~ ; ii¡: ~ § ~.I; ¡;: ~~. '@! ~o ~ ¡¡ i; I~ Iõ ~ £, r i 8 ~ ~'i ð ~~~ U~ I ~~~ ¡! N 21õ¡ .@ ~ f 0' ~~ - ~~õ~ Ii 1£ ~;n n ~ ~ gg ~ ., 7~~0 g~1 '" ',,~ ." g~a". ~fl <'¡¡"¡¡ é, ~~d! ai' !~~~; j~l. ¡j ~~ï¡gß ,0 CD ¡;~,. it d 8 . ,-<:,<::¡;¡;, ¡5 ~s.1 1'" :;~ ¡¡j----" .,' ~~:::~ if '^ ¡Iii. l ~p ~ g HI ¡ g~i:! 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