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Home My WebLink About2007-Plumbing (interior) o OSHKOSH ON THE WATER Job Address 3245 S WASHBURN ST CITY OF OSHKOSH No 123613 PLUMBING PERMIT - APPLICATION AND RECORD Owner BERGSTROM FOX VALLEY INC Create Date 02123/2007 Contractor HURCKMANMECHANICAL INDUSTRIES, INC. Category 440 -Industrial-Interior Plan X1-236-0207-P Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker Whirlpool Floor Drain 10 Local Waste Ice Chest Flr/Wst Sink Int Grease Trap - Lavatory 9 Lndry Tray 1 Clothes Wshr Exam Sink Catch Basin 3 Ext Grease Trap Toilet 8 Disposal Bidet Sculry Sink Wash Ftn 1 RPZ Valve - Res. Sink Dishwasher 1 Beer Tap Hand Sink Urinal 4 Eye Wash Statn 3 - Bar Sink Sump Pump 1 Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Water Heater 3 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters Site Drain Breakrm Sink 2 Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs - Roof Drain Ejector/Grind 1 Drink Ftn Serv Sink Soda Disp Misc. 15 HOSE BIBB Fixtures Use/Nature of Work Interior plumbing installation for new "Toyota" car dealership. CK#48104 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1365010000 $100,000.00 Plan Approval $0.00 Permit Fees $448.00 0 Permit Voided I Valuation Issued By Date 02123/2007 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 holder(s) and to secure any necessary approvals before starting such activity. Signature Date AQentlOwner Address POBOX 10977 GREEN BAY WI 54307 - 0977 Telephone Number 920-499-6984 EXT 1 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 Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 5(jel l~ Plumbing Permit Application ~ OfHKOfH ON THE WATER I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the perfonpance 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 permit fee, which ever is greater. OR Ifvouare a contractor Darticipatin~ in the Permit Fee Account Svstem and have adequate funds. check here if vou want this processed throu~h vour account n -307 70S- Job Address B-~u5 S - W4.SU BUiVJ 4Le. btr<. G ~\<-o (yVl DSingle Family DDuplex Owner Number of Fixtures: Bathtub Whirlpool Lavatory Toilet -5L -L Res. Sink Bar Sink Water Heater 3 o Gas 9"Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures -L/:L ~ Electric Contractor Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Value (Including labor and materials) .t/OO, tJl)tJ. UO Date~- It, - 07 " In j 1<-0#\.) (!.(~ /J..s~()c:n^o;\) DRental Gtommercial DIndustrial Contractor DMulti-Family ~ -L / -4 -D- DrinkFtn ~ Catch Basin Wait. St Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs Use / Nature of Work ~ + ~ OR DElectric Installation Verification form attached (If Rqllacement) Materim REG EfVroo= Type l\~. (J FEB 2 1 ~ vi; e:jYl> Sanitary Sewer Storm Sewer Water Service Size COMMUNITY DEVELOPMENT 11./05 HURCKMAN MECHANICAL IND., INC. 1441 Donald Street (54303) P. O. Box 10977 GREEN BAY, WISCONSIN 54307-0977 (920) 499-8771 TO: City of Oshkosh Inspection WE ARE SENDING YOU: [!] Attached DShOP Drawings DPrints Dcopy of letter DChange Order COPIES DATE NO. 1 2/20/2007 permit application and fee WFor Approval DApproved as Submitted WFor Your Use DAPprOVed as Noted DAS Requested D Returned for Corrections LETTER OF TRANSMITTAL DATE: 2/20/2007 IJOB # 51975 A TThl: Richard Wood RE: Plumbing permit application and fee o Under Separate Cover via the following: Dp,ans Dspecifications DsamPles Dexecuted Agreement [!]Other DESCRIPTION FEB 2 1 DEPARTMENT OF COMMUNITY DEVELOP ENT DResubmit _copies for approval DSubmit _ copies for distribution DReturn _corrected prints DFor Bids Due DFor Review & Comment DPrints Returned After Loan to US JP f"4e..re c.re ctf'\ '1 Q,Hs.rl~ 14) or Conce."'1!J~ fJf..e.c"J e CC\..{l fY\ '1 P.-OJe..t..-T m\:'<V'-o..~~"'" ~r4.A\...~ CC\.rt-i'e., - (CO-V'c/ G",-d~) ~tz- 'fcut Copy To: File BRIAN BALKE MP 220379