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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