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Home My WebLink AboutPlumbing 65-1003-P ~ 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 October 8, 2003 Fox Valley Excavating 441 Forest View Rd Oshkosh, WI 54904 Ref: Plumbing Plan Approval: Gary H. Decker,(4-Unit Condo sewer & water) 3200-3206 Issac Ln., Oshkosh, WI 3210-3216 Issac Ln. Plan ID# File-65-1003-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. Storm sewer is without calculation and assumed to serve as discharge receptor of sump pump for foundation drain only. 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. Respectfully, Richard Wood, Plumbing Inspector :\, ~ (t) OJHKOJH ON THE WATER Inspection Services (920-236-5049) PO Box 1130 Oshkosh WI 54902-1130 NOTE: Personal information you provide may be used for secondary purposes [Privacy Law s. 15.04(1 )(m). Stats.] 1. Plumbina Submittal check all that apply A) ~utside work ONLY B) Contains one or more: ( ) Cross Connection Control Assembly ( ) Catch Basin/Oil interceptor ( ) Grease Interceptor ( ) Chemical Waste System ( ) Sanitary Dump Station C) Total Number of Fixtures in ProjectlBuilding ( ) 1-30 () 201-250 ( ) 31-50 () 251-300 ( ) 51-100 ( ) 301-350 ( ) 101-150 ( ) 351-400 ( ) 151-200 ( ) 401-500 ( ) More than 500 fixtures- Total number_ D) ( ) Project is Apartmenl/ Condo only E) ( ) Project contains identical Buildings. Number of identical buildings _ F) ( ) Structure is greater than 3 stories in height. G) ( ) Manufactured Home Community and/or Campground ( ) less than 50 sites for sewer ( ) Less than 50 sites for water . ( ) More than 50 sites for sewer ( ) More than 50 sites for water APPLICATION FOR REVIEW -Complete all pages- GENERAL PLUMBING Complete for confirmed appointments*: C5"'-6J -106]' -~/Lf- FILl:-. tf-/(J(J3-~ RECEIVED Transaction 10: 2. Type(s) of Submittal: ( ) Storm/Clear water Drain and Vent ( ) Water Supply System ( ) Sanitary Drain and Vent ( ) New () Alteration ( ) Addition ( ) Petition ( ) Revision to Previously App. Plan Plan No. Revised ( ) Multiple Buildings Number of Buildings ( ) Health Care Facility Complete last page of this form for multiple buildings or cross connection assemblies 3. Project Information - Fill in all known informati~. Project/Site Name 'I t( 1'1. t~ -I C tJ h d"c ./1"1 ,l '" { <'t W'\ Number & Street: '321 s: ~ OCT 0 6 l~003 DEPARTMENT OF DEVELOPMENT !!" ) Village ) Town of Example: West Mall/Jim's Shoes, Bldg #1 2/~ 4. After plans are reviewed, please: (check all that apply) .Yi.. Call Customer 1, 2, 3, 4 (circle number)* *Refers to customers listed below _ Requesting party will pick up. _Mail plans to customer 1, 2, 3, 4 (circle number)* Company Name Address City State Zip+4 (9 digits) Phone Number (area code) Fax or Internet . iti:,).'~!t;i~t.:~;i@j /;~ji:'c;:,~: :~':9~~1 ~"~~ ;': )' ?,~;.:;,~,i-I:,:~:;:~~~ri-Q::t".\~1,:" /.:~f,_;: ; Last Name Customer Numbe c~ Company Name Address City State Zip+4 (9 digits) Phone Number (area code) Fax or Intemet Check others if applicable ( ) Payer Other Total amount due, Review code 7657 $ 6. Regulated Object Type Details Sanitary Drain and Vent System Total Number of Fixtures Number of: Grease Interceptors Garage Catch Basins Oil Interceptors Car Wash Interceptors Sanitary Dump Stations System Components (check all that apply) ( ) Building Sewer ( ) Interior Drain and Vent Piping ( ) Private Interceptor Main Sewer Complete information requested where applicable. Water Supply System Total Number of Fixtures System Components (check all that apply) ( ) Water Service ( ) Water Distribution System ( ) Private Water Main ., " Storm & Clear Water Drain and Vent System Total Number of Fixtures 7. Calculation of Fees Required. Check appropriate box and make fee computation. Number of: Catch Basins __ Area Drain Inlets __ Roof Drains __ Controlled Flow Roof Drain? ( ) Yes ( ) No Fe.eComplJt~tjon.s(~~.Y.R(~~J9rJ6~t~I@,pri .. ,., W'lt.h 0' ut a,,:L:"r':'o.:..'v' 'a' I.; .... ;.".:.".':.;!~..:.: ".~.'.i.::.'.~c.;;.!.?;.S'.;"!: :...C......,:.:.';..oe.x"...t.L~..:....;....:...: :"'.: . . ,.. .' _1001,. ',', ) t ,~~, .,' ,-,:?1~:':~-,I,"_ ."..'..,"'1,,' ,_,_, ,,' '. "_"._" .""., ."0", ' <;'~:":.c Sum of Sanitary Sewer Diameters..1lnches x $25.00 Sum of Sanitary Sewer Diameters.._lnches x $40.00. or for multiple sewer connections serving a single building the fee mav be calculated per Comm 2.64 (3)(a) Sum of Larg;st Diameters..,i!l:zJnches x $25.00 Sum of Water Service Diameters... Inches x $25.00 Sum of Water Service Diameters.._lnches x $40.00, or for multiple water service connections serving a single buildina the fee mav be calculated per Comm 2.64 (3)(b) Sum of Water Main Diameters... Inches x $25.00 Sum of Storm Sewer Diameters.._~..Inches x $10.00, or for multiple sewer discharge points lor a single site the fee may be calculated per Comm 2.64 (3)(c) . Sum. of Largest Diameters..._lnches x $10.00 Number of Assemblies...... x $125.00 Number of Assemblies ....._ x $125.00 Number of Assemblies ....._ x $125.00 Number of Assemblies ..... x $125.00 Number of Grease Interceptors... _x $70.00 Number of Chemical Waste Systems... x $70.00 Number of Garage Catch Basins... x $70.00 Number of Oil Interceptors... x $70.00 Number of Car Wash Interceptors... x $70.00 Number of Sanitary Dump Stations... x $70.00 Number of Petitions included... x $225.00 $75.00 Required Number of Experimental Plumbing Systems... x $500.00 Number of Alternate Plumbing Systems... x $400.00 Manufactured. H(j.me;..::t~};..;;:Jl'!;:~~::i'f,:{.~;\:;i R~qulred "..' CommunitY/Recreational Vehidepark.' Fee.., 51-125 Sites $400.00 Greater than 125 $500,00 $300.00 $350.00 , NOTE' No additional fees are required if submitted with sanitary drain and vent system. System Components (check all that apply) ( ) Building Sewer ( ) Interior Drain and Vent Piping ( ) Private Interceptor Main Sewer Note: Complete last page of this form for Cross Connection Control Assemblies R-~Cfuired ".Fe'if: " .-: .... ....:..c,::...,.,.'.\):'.\/~i .:<r:" Item pes,~,rj~tjon chi. ..'m.'>f >;;,. .. . (><> Sanitary Building Sewer Only (no drain & vent) ( ) Sanitary Drain & Vent, with or w/o Sanitary Building Sewer ( ) Sanitary Private Interceptor Main Sewer \><J Building Water Service Only (no water distribution system) ( ) Water Distribution System with or w/o Water Service ( ) Private Water Main (>ct) Building Storm and Clear Water Drain System ( ) Storm Private Interceptor Main Sewer ( ) Reduced Pressure Principle Backflow Preventer ( ) Reduced Pressure Detector Backflow Preventer ( ) Back Siphonage Backflow Vacuum Breaker ( ) Pressure Vacuum Breaker ( ) Grease Interceptor '(See Note Below) ( ) Chemical Waste System '(See Note Below) ( ) Garage Catch Basin" (See Note Below) ( ) Oil Interceptor '(See Note Below) ( ) Car Wash Interceptor '(See Note Below) ( ) Sanitary Dump Station. ' (See Note Below) ( ) Petition for Variance inCluded (Attach Form SBD-9890) ( ) Revision to previously ~pproved plans ( ) Experimental Plumbing System ( ) Alternate Plumbing System Manufactured Home'. ';>.,<' ~..:"".; . ':~ Requir~.d F. ee Communitv/Recreational Vetii~le Park < 1.25 Sites 26-50 Sites . I 0tJ -u() 37...Y5 I f' t'~ at> C' -' . [ Priority reviews are double the above fees. Prior approval from a section chief is required for a priority review. If approval is granted the priority will be reviewed within 5 days of receipt.. , Enter Total Fee (Minimum $60.00) here and at bottom of front page [ ) '77" 5~ \ . . - - '0 \~ . , 7." \ \ 'e( 48 , · 80,837 SQ. FT. I .1- foO/~ 5':--~b:) 33s) (3~Nig~~;~aWn1d v8-ZS WWO:l OJ / , IldWOJ H :J H1IM 3::JNV J..lIJ AS HSO)\H~O ~~d nNI9Wrnd 03M31^3l:l.SN . - ...-.& e ,-' .! ~ . I .-'-:.-.- -'7'- 107.19 "t0l'0SC/) . ' .10 \ \ \i . 14.J' l 'i J. If. 7' \--- ~ 1'0) ~ \ ::-.. . i ".,. -- '^ 0.0' ~dO '" ~ d-O~ ~ ~D C\ 4 IJNt T COHDot./1NHJ1tI IVl..fMtD.. NO. J , 6'dO ~ . : "'\ . 3~DO 10. .... . -, ~ ) ~ \ -) N89-S2'D9"W V' ~ JACOB AVENuE \ ~ - -.-. - -- I ./ / 750.67 80 FT. w ~~ N (t \) c:- , .s: \.>J <t:L~ :;:, <::) '" i <; '<.. W W "-l N ...... '< ~ ~~ ~ (\ v ~~ ~ ') \J\ ~ Jf\ ~ -l .':\ \' .:: " C\ i'- )--- <:> ~ .t) ~ .3 l' (\ ~ .I::: - ~ '\ ~ ~~~ ~.s::~ ~ ~--~ ~ ,\;: ~ GJ.. --+-. ~ V\ . ~.' N~ " <\ ""\1\ ~~ ~'\ VJ~ W, N ~ \)\ ";