HomeMy WebLinkAbout0125119-Plumbing (laterals)
e
OS,t.-IKOSH
ON THE WATER
~
Job Address 2415 HICKORY LN
Contractor ZILLGES EXCAVATING
CITY OF OSHKOSH No 125119
PLUMBING PERMIT - APPLICATION AND RECORD
!
Owner DANIEL M COTTER Create Date 06/04/2007
Category 401 - Residential-Exterior (laterals)
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roo1' Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
I '
Water Softner Wait. St. Shamp Sink ~
Local Waste Ice Chest FlrlWst Sink
-
Clothes Wshr Exam Sink Catch Basin
r--
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
-
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
-
Drink Ftn Serv Sink Soda Disp
>---
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Seal laterals to be reused for NSRF within 12 months from permit issue date.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
,
Parcel Id #
1518678000
Valuation
Issued By
$1,500.00 Plan Approval
$0.00 Permit Fees
!
$25.00 0 Permi~ Voided I
I
!
Date 06/04/2007
/
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 perfo~m the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the,
easement holder(s) and~ecure a~AProvals before starting such activity.
Signature t p" s: .
If"
Agent/Owner
Date
(y (1/~-:f
Address 1800 FOUNTAIN AVE OSHKOSH WI 54904 - 0000 Telephone Npmber 376-1005
To schedule inspections please call the Inspection Request line at 236-5128 noting the Addre~s, 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.
.
@
D
D
REQUEST FOR EXCEPTION TO REQUIRED .
SEWER AND WATER ABANDONMENT REGULATIONS
I
Date ~I +l D1-
Address of building ;) 4l S- fl; <\<:4 ry L,J.
Name of Owner Dc....~ Go tte.r
Address of owner
~ 4l5"
,
i4~G~ry
LN.
I
The undersigned Master Plumber requests that the requirement for abandohment 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 of the served stru~ture. (Check
one or provide Information)
The utilities will be reused for new construction atthis site within twelye months of
the date of request for exception. If the utilities will not be reused witl~in 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. I
.
The utilities will be properly abandoned after the structure is removed ~o make the
utilities accessible for abandonment. The utilities will be securedagainst damage
during demolition and until they can be abandoned to meet the requireInents of
ordinance. (Not to exceed 60 days)
.
Other reasons for the requested exception:
(Contmue on the reverse Side of form If necessary)
Master Plumber L-.e; 3'" 'S:::), u h
Master Certificate Number 4"2... 84-2
Date (p /4/67-
Mailing address lSoo ~ov LVtG\~"'; Av-e...
Approved:
os,^~$""'- oJ.! 5""4 c;Q 4
/~gl"~
Date .t',., '1'" #7