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Home My WebLink About2007-Plumbing G~ OSHKOSH ON THE WATER Job Address 2400 S WASHBURN ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 125574 Owner C S I WI L TD PRTSP Contractor ACTION PLUMBING Category 440 - Industrial-Interior Bathtub Shower Water Softner 2 Wait. St. Whirlpool Floor Drain 8 Local Waste Ice Chest Lavatory 5 Lndry Tray Clothes Wshr Exam Sink - Toilet 8 Disposal Bidet Sculry Sink 1 - Res. Sink Dishwasher Beer Tap Hand Sink 1 Bar Sink 2 Sump Pump Lab Sink Plaster Sink - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink - Site Drain 12 Breakrm Sink Dip Well F Prep Sink 1 - Roof Drain Ejector/Grind Drink Ftn Serv Sink 1 Misc. 4 2silcock,1 maltmix,1 smoothie macho Fixtures Use/Nature Interior plumbing for new Kwik Trip store. of Work Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Create Date 06/29/2007 Plan G2-202-0706-P Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve 3 Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs 6 1 2 Size Type Conn. Type Material Sanitary Sewer Storm Sewer Water Service # Valuation $30,000.00 $0.00 Permit Fees Parcel Id # 1325500000 $406.00 D Permit Voided I Plan Approval Issued By Date 06/29/2007 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 strongly urges the permit applicant to contact the easement hol s) and to secure any nec ssary ap roval rting such activity. Address 149 CAUSEWAY BLVD LA CROSSE WI 54603 - 0000 Telephone Number 608-784-2233 Date g U_l\.)~ ~-o 7 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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 ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit 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 $100.00 plus the normal permit fee, which ever is greater. OR If YOU are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here if YOU want this processed throuzh your account n w.1Q O:~)lJ...re.s , Job Address~LfOO ,3. llJ,~\..~,""A.-~ )"f. Value (Inc1udinglaborandmateriaisL 3(), otJO Owner Kw~.\l\ l;f t~"'Cb.'< Si t~~fc,~:;e ~ ~ Contractor a.-t~D~ [v..Chb~. DSingle Family DDuplex DMulti-Family DateCi~- 01 I jlfUl G~ Il.'SF~\~ k(;.\:~\~ Dlndustrial$'L\t:.o :> Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res, Sink ~ S- Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal .3 Exam Sink Gar Drain ~ Sculry Sink -L Soda Disp 2- Hand Sink r Coffee Maker '3 - F Prep Sink -+- Comm. Ice Maker Serv Sink Site brain tL Int Grease Trap -L Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Bar Sink Q., Water Heater ~ o Gas ~Elect 0 PvtrVnt Shower Floor Drain K Lndry Tray Lab Sink Surgeons Sink Breakrm Sink ~"'- M.c.ct-\: Shamp Sink Flr/Wst Sink .2 ~b\l~ , ~C(If()\{,tAtdf'Y' \ SMI9O\-~~ fA~\.. ~ 1. '. _ , OR' DElectric Installation Verification form attached (lfReplacement) Wtr Sewer Mtrs Plaster Sink Dip Well Sterilizer _. Hose Bibs .J1 0 "YfI"€J'" t- Misc. ~~'1( i. Fixtures e~ ~_ \ ~r: ~~~ d... Electric Contractor Deduct Meters x Wtr Usage Mtrs Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05 ~ OJHKOJH City of Oshkosh Inspection Services 215 Church Ave., PO Box 1130 Oshkosh, WI 54902-1130 (920) 236-5052 (920) 236-5184 FAX ON THE WATER July 18, 2006 Shumann & Associates, Inc. 4433 Mormon Coulee Road La Crosse, WI 54601 Ref: Plumbing Plan Approval: Kwik Trip of Oshkosh 2400 S. Washburn St., Oshkosh, WI Plan ID# G2-202-0706-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. Dry vent shall connect to the top quadrant of horizontal drain line served by the vent per COMM82.31 2. Circulated hot water lines shall be insulated per COMM 82.40 3. Cross connection control assemblies, reduced zone principle backflow protection shall be registered with the department before initial test per COMM 82.20 4. Vacuum breaker installation for cross-connection protection on lawn sprinkler system water supply requires no control valves be installed downstream of the device COMM 82.41 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 inor 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. Respectfu Ily, Richard Wood, Plumbing Inspector