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Home My WebLink About2007-Plumbing (laterals) 0.' o CITY OF OSHKOSH No 123113 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3245 S WASHBURN ST Owner BERGSTROM OF THE FOX VALLEY INC Create Date 01/08/2007 Contractor IMMEL, ROBT J EXCAVATING INC Category 430 - Industrial-Exterior (laterals) Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher B,eer Tap Hand Sink Urinal Sump Pump Lab Sink' Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs lemporary abandonment of 4" sanitary sewer and 2" water lateral for demo of auto sales building. Proposed plans are to reuse 2" water for future carwash and 4" sanitary sewer to serve carwash and new sales building as private interceptor main sewer. No plumbing plans have been submitted for such work. Temporary abandonment is allowed for 1 year. If laterals are not used in 1 years time they must be taken back \3nd sealed at the right-of way. Valuation Issued By Size Material Plastic Type Lateral # Conn. Type Aband Parcelld # Date 01/08/2007 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 hol~ and to secure any necessary approvals before starting such activity. 51 gnat... . ! ;' ~I Agent/Owner Address PO BOX 135 GREENVILLE Sanitary Sewer 4" Date J-J'-D7 Storm Sewer Water Service Copper Lateral Aband 920-757-5906 2" $1,000.00 Plan Approval r" (?7.'?~ $0.00 $100.00 D Permit Voided I 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. Permit Fees WI 54942 - 0000 Telephone Number :" ------ REQUEST FOR EXCEPTION TO REQUIRED SEWER AND WATER ABANDONMENT REGULA TrONS Date /--- r. 0 '7 Address of building ..J d l' 5- Name of Owner ftpr.,/rrC'/V'\ / Addness of owner fQ ~ a..l 5. VeJ 116 u/" sf. ..../ 7-0-- ~~ U&"1 j 2N<-. I o:!?.:?J)~. 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 ofthe served structure. (Check one or provide Information) ;E1' The utilities will be reused for new construction atthis site within twelve months of the date of request for exception. lfthe 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. D · The utilities will be properly abandoned after the structure is removed to make the " 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) D · Other reasons for the requested exception: (Continue on the reverse SIde of form If necessary) , "~! ~;' Master Plumber j'" 7 Master Certificate Number I~/: :2 :2 '7-6<;1;) Date l~ro7 J-J /- ~/ cyp. I Mailing address h-.J &- f- .::;:. r-",..d t!xCvr ~.-I :7- C reu ,/:II~ t~. :;'-'1 JJ- "/. ~~gd Date /-?-j7 Approved: :-\- % c)O ,,?J fR-W1' ~ WARD: /371:. LOCATIO~: 3~ 9..r 5. k/rt~lb~r^- =>Ii WORK DONE: /!1DvI< e ';1/ t'..K'f-/1t. 1)1"\-- . / t'/ Wa.. rt!'r mAl' A- INV#: QTY: PARTS: I' J2 0 I/al' f .s . f \...(llo()c+ ldppi nJ r(\Dchin'f_ 4SD 100 \J~hldf, U,S'f, lS ,D{) . . GRAVEL: (l tJ REMARKS: P-tr(i\l-r-ff J I q q '3 \)J~ ~~ 541 lilj DATE: S-//tfl 7 / , DHL#: TAP CUT-IN !/ ~ .s / SIZE: It'1 CONTRACTOR: ~111 me/ MEASUREMENTS: 'I 7/" .5 t) f'..s W4itt.-,(, AM- 7' e tJfw J. W~s/"'blA.l''' PERMIT#: n () BLACKDIRT: YES @ CONCRETE: YES ~ DETAILS: - WORKE~S: $, ;l //{/ .