HomeMy WebLinkAbout0123184-Plumbing (laterals)
.
OSHKOSH
ON THE WATER
Job Address 725 HIGH AVE
CITY OF OSHKOSH
No
123184
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner STATE OF WISCONSIN Create Date 01/16/2007
Category 430 -Industrial-Exterior (laterals) Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin 2 Ext Grease Trap
Bidet SculrySink 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 R.G. SCHMITT, INC.
New parking structure per state plan approvallD # 1316010. Install new 4" sanitary sewer, 15" storm sewer, 6"& 8" storm laterals to
raingardens and 4" water lateral. ..check #20548
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer 15" Plastic Lateral 1 New
8" Plastic Lateral 1 New
6" Plastic Lateral 1 New
Water Service 4" Iron Lateral 1 New
Parcelld #
$80,000.00
Plan Approval
$0.00
Permit Fees
$264.00 0 Permit Voided I
Valuation
Issued By Date 01/16/2007
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 strongl urges e permit applicant to contact the
easement holder(s) and to secure any nece approv before n acti ity.
Signature Date /- / ~ -C)
Agent/Owner
Address W2680 MEADOW RD
CAMPBELLSPORT WI 53010 - 0000 Telephone Number 920-533-4757
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 of Oshkosh
Inspecti`on 5ervices Division �
P O Box 1130 �
Oshkosh,WI 54903-1130
� Fax�n(920)2363 08450 OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pernrit to do and install 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)will result in fees being doubled or$100.00 plus the :
normal pernut fee,which ever is greater.
OR
If vou are a contractor participatin� in the Permit Fee Account Svstem and have adequate fi�nds check here
if vou want this processed through your account n �
Job Address � Z.S �<<+� ��� VaIUe(Including]abor and materials) � �d� �oa Date '��'d7
Owner lJ t�.J — c�S11 k o51� Contractor �. Cc . S �alrv�,.,-rr t�.,�c,.
❑Single Family ODuplex OMulti-Family ❑Rental ❑Commercial �ndustrial
� �
Number of Fixtures:
�r -�
Bathtub Disposal Drink Fm Catch Basin
Whirlpool Dishwasher Wait.St. Wash Ftn
Iavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res.Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm.Ice Maker
❑Gas❑Elect 0 PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Rec
Indry Tray Surgeons Sink RP.Z.Valve Eye Wash Stn
Lab Sink Brealvm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor OR ❑Electric Installation Verification form attached
(If Replacement)
Use/Nature of Work
Size Material Type # Conn.Type
Sanitary Sewer y �� prc.. se.N�/o � ��,
StormSewer /s=8�-G� So+� 3S
, �.f a+�.,
Water Service � � ���'��
cJ.
� 2o•.i ii/os
J
Safety and BUildings
- t'\::TOUX 7162
MADISON WI 53707-7162
TOO #: (608) 264-8m
www.commerce.wi.gov/sb/
www.wisconsin.gov
commerce.wi.gov
.
isconsin
Department of Commerce
Jim Doyle, Governor
Mary P. Burke, Secretary
October 02, 2006
CUST ill No. 925337
ATTN:Plumbing Inspector
.MICHAEL BOHLMANN
PSJ ENGINEERING INC
7665 NORTII PORT WASHINGTON RD
.MILWAUKEE WI 53217
MUNICIPAL CLERK
CITY OF OSHKOSH
PO BOX 1130
OSHKOSH WI 54903-1130
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 10/02/2008
Identification Numbers
Transaction ID No. 1316010:
Site ID No. 717481
Pleas......e refc.~rto. bO...th..ide...n....ilii...... ca..........ti. '.0.. nn. um. be. rs,
.'::' ,.,~.-._.:.:>::.,. :"",^;,,;,<,<~'k';"">/:~:';;'::":-'- .
above, in . allcorresp9~de#ce'witp; the
,;a en;.",.."
SITE:
UW Oshkosh South Campus Parking Ramp
Osceola St & High St
City of Oshkosh, 54901
FOR:
Object Type: Plumbing System, Building Specific Regulated Object ill No.: 1094106
Plan Type: New; 1 Garage Catch Basin(s); 64 Interior Fixture(s)
Object Type: Cross Connection Control Device Regulated Object ill No.: 1094107
Device is Serving: NON POT ABLE; Device Type: Reduced Pressure Detector Assembly; Location on Property: RM
010; Manufacturer: WATTS; Model: 919; 3" Valve Size
Object Type: Interior Sanitary Drain & Vent System Regulated Object ill No.: 1094108
Object Type: Interior Water Distribution System Regulated Object ill No.: 1094109
Object Type: Plumbing System, Site Specific Regulated Object ill No.: 1094110
Plan Type: New; 10 Exterior Fixture(s)
Object Type: Interior Storm Drain System Regulated Object ill No.: 1094111
Object Type: Exterior Sanitary Building Sewer Regulated Object ill No.: 1099549
Object Type: Exterior Water Service Regulated Object ill No.: 1099550
Object Type: Storm'Building Sewer RegUlated Object ill No.: 1099551
The submittal described above has been reviewed fot conformance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined
in chapter 101.01(10), 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..
The following conditions shall be met during construction or installation and prior to occupancy or use:
Key Item(s)
iJ