HomeMy WebLinkAbout0125607-Plumbing (holding tank)
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OSHKOSH
ON THE WATER
Job Address 3120-3130 KNAPP ST
Contractor AUGUST WINTERS CO
Shower
Floor Drain
CITY OF OSHKOSH
No 125607
PLUMBING PERMIT . APPLICATION AND RECORD
Owner WINNEBAGO COUNTY
Create Date 06/28/2007
Category 431 - Industrial-Exterior (other)
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Ilnstall holding tank per State and County Approval. State Trans 10 #1345306, Count Permit #485087.Check #520404
of Work I .
L
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Holding Tank
Sanitary Sewer
Size
Storm Sewer
Water Service
Material
/'
Type
#
Conn. Type
Parcelld #
1413690100
/
$10,000.00 Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation
Issued By
Date 07/02/2007
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 holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address P.O. BOX 133
Agent/Owner
BERLIN
Date
WI 54923 - 0133 Telephone Number 920-361-1403
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
r Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
Plumbing Permit Application
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 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
Ii vou are a contractor varticipating in the Permit Fee Account Svstem and have adequate funds. check here
i ~ou want this orocessed through vour account n
Job Address903
Owner
DSingle Family
w t;J "lit lfa<A AvValue (I"d"dl", [""" If ~.red.') /~ DtJ () Dater; I~ ~ -:;
Contractor tsttI-9tlf7 /)jIJ.J-Ic:tL
DDuplex DMul i-Family.. DRental ~commercial DIndustrial
r-~ mPfpDtJj
Shower
Floor Drain
Disposal Drink Ftn Catch Basin
Dishwasher Wait.St. Wash Ftn
Sump Pump Ice Chest Urinal
Ejector/Grind Exam Sink Gar Drain
Water Softner Seulry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Clothes Wshr F Prep Sink Comm. Ice Maker
Bidet Serv Sink Site Drain
Beer Tap Int Grease Trap Roof Drain
Classrm Sink Ext Grease Trap Standp Rec
Surgeons Sink R.P.Z. Valve Eye Wash Stn
Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Dip Well Flr/Wst Sink Deduct Meters
,~ Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
r::: Gas CJ Elect [J PwrVnt
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
-L
Hose Bibs Wtr Usage Mtrs
f-/r>01J /Nq ~tI.liL- IM.~ ~JJ
OR DElectric Installation Verification form attached
(lfReplacement)
Fixtures
Electric Contractor
Use I Nature of Work
Size
Material
Type
#
~
I
JUN 2 9 2007
DEPARTMENT Or.::
INi tMUNITY DEVELOPMENT
CTION SERVICES DIVISION
11/05
r Sanitary Sewer
Storm Sewer
Water Service
~~
.......ER
AUGUST WINTER & SONS, INC.
MECHANICAL CONTRACTORS
P.O. BOX 1896 . 2323 NORTH ROEMER ROAD
APPLETON · WI 54912-1896
PHONE: 920n39-8881 . FAX: 920n39-2230
DATE: 6/28/07
(em)
TO:
City of Oshkosh
Inspection Services Division
P.O. Box 1130
Oshkosh, VVI 54903-1130
SUBJECT:
I Wittman Tower
I ATTN: Paul VVolfe
We are sending the following items:
QUANTITY DESCRIPTION
1 Plumbing Permit Application and Check for $25.00
1 Copy of Holding Tank Servicing Contract
1 Copy of State Sanitary Permit
1 Copy of Sanitary Permit Application
THESE ARE TRANSMITTED
DFor Your Approval
DDisapproved
I2SJAs Requested
DApproved
D Resubmit
DFor Revie,,\' & Comment
DApproved As Noted
DFor Your Files
DPrints Returned
After Loaned to us
DRetumed for Corrections
I2SJFor Your Information/Use
Deopies
I
JUN 29 2007
Sincerely,
Gary Martin
AUGUST WINTER & SONS, INC.
DEPARTfv1ENT OF
CmlJMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
VISIT OUR WEB SITE AT WWW.AUGUSTWINTER.COM
Branch Office: 5613 Schofield Avenue · Schofield, WI 54476 · PH: 715/355-7555 . FAX: 715/355-9048
HVAC · PLUMBING. TANK FABRICATION · PROCESS PIPING. IND. SHEETMETAL
SPECIALTY METAL FAB. · ASME PRESSURE VESSELS · ASME CODE WELDING. 24 HR. SERVICE. ENGINEERING
STATE OF WISCONSIN LICENSED MASTER PLUMBERS, LICENSE NUMBER MP6007
.(0)
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5 - 8- 0 7 _ _ ~h~s:~n~r:c~i: ~:~ ~~~e~~ ~~ ~ _ _ ~._ _ ~.._ _ __ _ ~_'--_ ~ __'-- ~...~~._
Holding Tank Owner(s) Name(s) and I Pumper's Name .. . . . . . .. . '.
WINNEBAGO COUNTY/WITTMAN REGIONAL AIRPORT I .
% PETER M. MJLL-AIRPORT DIRECTOR . :WINNE13AGOLIQUID WA$IE
903 W WAUKAU AVE OSHKOSH~ WI ,--5~"9p2 :DIVISION. OF CONGER'J.'~lJCK.ING<::ORPOAA.'J.'ION
We acknowledge the in::>,tallatioh of (a) holding tank(s) on the fallowing property: (Proyide lega.! desc;dptiOns:)
HQlDING,TANK SERVICING CONTRACT
Contract Date
903 WWAUKAU AVE, OSHKOSH WI 54902
.tlTY,OF~bSHKOSH, WINNEBAGO, WISCONSIN
PARCELID# 91413690100
----------------'-------------------------~-----~--
--->~.~"."f"O ~ -........ '- - ,-. ~...-:'
1. The owner agrees to file a copy of this contract with the local governmental unit thathas signed thepumpinQ.f\greement
required in Ch.ILHR 83.18(4) (b), Wis. Adm. Code and with (he County of WINNF,BAGO
.... ,.,'....... . -. ';
.' "ii
2. The owner agrees tohave the holding tank(s) serviced by the pumper and guarantee: to permit t~epumpEjit9haveaccess a~~:
to enter upon the property for the purpose of servicing the holding tank(s). The ownE!fagreesto iIlaintaintheElc;qess rQad or -il
drive so that the pumper can service the holding tank(s) with the pumping equipment. The9Wl1erfl.JrtheraQry~s ~opay thy i!
pumper for all charges incurred in servicing the holding tank(s) as mutually agrst;ldupon by the ownerandpYrnpt;lr. ' 'I
3, The,pumper agrees to submit to the local governmental unit whi~h has signed the pumping agreement ri;.lCj\.JiiedbY $. ILHRI
133.18(4) (b), Wi!;). Adm. Code, and 10 the County, a report for the servicing of the holding tank(s) on a semi~nnl.tal.basis. Th€l,
pump~J further Cl:grE)e~to include the following in the semiannual report:!
~
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JUN 29 Z007
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a.l%::hn~!ll~,~l.f)d ackJr:essbf the person responsible for serviqing the holding tank;
b. .Tl1e!1~tp;E?9tlh€,-owner pf the holding tank;
:gh~{!.?93.U,9Q\?f,tI1J1prQP,erty onWhich the holding tank is installed;
. T.hi .,\ "'. .', . 'tn.l.i~b,YJ is~ued for the holding tank;
". \'tMehcildingctank was serviced;
(".::,...',,:,::,~:::,' -';'';::<-'. -,>'~, - ", .
". ..... P..htp~c9ntents pumped from the holding tan~ for each sElrvicing;
iS111l1~Gontents from the holding tank weredelivE)red.
4.
DEP'!\RTfV1EI\JT OF .
COMMUNITY DEVELOPr"1ENT
INSPECflON SERVICES DIVISION
. '.
~ntil the owner or pumper letminptesthis contraci. In the eventot achangejn this contrac!.
changes to this service contractor a copy ota new service contract with the local .
ed above within ten (10) business days fromthe date of change to this s.ervice contract.
". . I Owner's Signature(s)
AlRlJlORT
I
O~'U4J!f
I
I
. I
f;;; G---.
Subscribed and swom to me on this date:
5-8-07
Today's Dati?
1-16-2011
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Winnebago County
Zoning Department
448 Algoma Blvd
Oshkosh, VVI 54901
920-236-4844 Fax 920-303-3035
(Q; @ffiV);:REC EI PT
RECEIPT NO: 101853
DA TE:05/18/2007
THIS IS NOT A PERMIT
Paid Bv: AUGUST WINTER & SONS
Amount: $575.00 ,',
PaymentTvpe:CH~CK Check#: 519177
For: Sanitary Permit ,ParceIID:tJ18-
, '
. . -,". .
Property Owner: WITTMAN REGIONAL AIRPORT
Received Bv: CJS
Account: 4368-100-087 ' $500.00;'
Account: 2403-100-000 $75.00 ." ".
If payment is made by check, this receipt is not valid until the check has cleared all banks.
If you have any questions concerning this invoice, call: 920-236-4844
THiS IS NOT A PtJ,~Mtf
I
JUN 29 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
I
@(t)j/jJJ
Pr--,?,,\
'-~/rtI2D
County Q
Winne ~ 9
Sanitary Permit Num 'Uit1P. in by Co.)
S7$"""eJ f'7 IVrEa
~" commerce.wl.{J<W
. "" isconsin.
" " Departmel1t of Commerce
Safety and Buildings Division
201 W. Washington Ave., P.O. Box 7162
Madison, WI 53707-7162
Sanitary Permit Application
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this fonn to the appropriate gowmmental
unit is required prior to obtaining a sanitary "permit. Note: Application forms for state.owned POWTS are
submitted to the Department of Commerce. Personal information you provide may be used for secondary
u oses in accordance with the Privac Law, s. 15.04 I) m ,Stats.
1. A "lication Information - Please Print All Information
Property Owner's Name -
Wittman Regional Airport
Property Owner's Mailing Address
525 West 20th Ave.
State Transaction Number
, NC
/3.yS3CJ(;
Project Address (if different than mailing address)
3120 Knapp St.
Oshkosh, WI 54902
Parcel # q I~U!>(,qcl O()
.+g16-155
Property Location
GoY!. Lot
City, State
Oshkosh, WI
II. Type of Building (check all that apply)
o I or 2 Family Dwelling - Number of Bedrooms
Zip Code
54902
Phone Number
920-424-0092
NW v., NW v., Section 2
- (circleone~
T 17N N; R~EorY(
Lot #
Subdivision Name
~ Public/Commercial-DescribeUse Aif Traffic Control Tower
Block #
o State Owned - Describe Use
CSM Number
~ City of Oshkosh
o Village of
o Town of
III. Type of Permit: (Check only one box on line A. C plete line B if applicable)
A. ~ew System 0 Replacement System
o Other Modification to Existing System (explain)
o Penn it Revision
o Pennit Transfer to New
Owner
List Previous Permit Number and Date Iss1,led
o Mound:,: 24 in. of suitable soil D Mound < 24 in. of suitable soil
o Pretreatment Device (explain)
New Tanks
Capacity in
Gallons
SlCisting Tanks
Dispersal Area Required(sf)
A
Total # of
Gallons Units
'" ,
\1 g~ u
.0 .... u~ ]j 'J::
~ g '" 0 ] '"
.<;; g ~
a:8 Cf.l '" Cf.l U::t:J ;;;;
3,090
3:129
Wieser W-3,OOO FDL
Dosing Chamber
232281
920-739-8881
Plumber's Address (Street, City, State, Zip Code)
2323 N. Roemer Rd., Appleton, WI 54911
VIII. Coun iDe artment Use Onl
~pproved 0 Disapproved
o Owner Given Reason for Denial
IX. Conditions of ApprovalfReasons for Disapproval
Permit Fee
$
Date Issued
DEPARTfvlEN .",".
Attach to complete plans for the system and submit to the County only on paper not less than 8 U~e[)EVELo'D)V(EI\!::r - , " '
INSPECTION SERVICE5}5I~~"'r(5~Vr G <. .'"
SBD-6398 (R. 01/07) Valid thru 01/09 ro ( " MAY I 8 :~~;
.: ~Q C ~ \\~'bj, ..t-. /