HomeMy WebLinkAbout2007-Plumbing
cD
OSHKOSH
ON THE WATER
Job Address 1075 N WASHBURN ST
CITY OF OSHKOSH
No
125723
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor JT SCHMIDT PLUMBING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner
Floor Drain 5 Local Waste
5 Lndry Tray Clothes Wshr
14 Disposal Bidet
Dishwasher Beer Tap
Sump Pump Lab Sink
1 Classrm Sink Sterilizer
1 Breakrm Sink Dip Well
Ejector/Grind Drink Ftn
16 2 trench drains,14 hose bibbs
Owner LOWES HOME CENTERS INC Create Date 07/10/2007
Category 440 - Industrial-Interior Plan Y1-247-0507-P
Wait. St. Shamp Sink Coffee Maker
Ice Chest FlrlWst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn RPZ Valve 2
Hand Sink Urinal 3 Eye Wash Statn
Plaster Sink Standp Rec Wtr Sewer Mtrs
Surgeons Sink Ice Maker Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
3 Serv Sink Soda Disp
Interior plumbing for new "Lowe's" per plan approval. "A" value is 7 for water distribution.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1621500000
Valuation
Issued By
$371.00 0 Permit Voided I
$149,000.00 Plan Approval
$0.00 Permit Fees
Date 07/10/2007
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
Date
Address 419 S WASHINGTON ST
Agent/Owner
COMBINED LOCK~ WI 54113 - 0000 Telephone Number 920-788-7314
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.
" Permit App Plumbing
cJc-#-fR 33 ;;L
"1(37/. ()O
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Page 1 of2
RECEIVED
JUL 1 0 2Q07
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Plumbing Permit Awlication
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.
AppIication(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 $100.00
plus the normal permit fee, which ever is greater.
OR
If you are a contractor participatinq in
adequate funds, type X!j;/$ if you want this processed throuqh your account
the Permit Fee Account System and have
D
. j (InClud~:I~~~ II~~~~:~1 Dat~2__q=Q7.j
and materials)
./~f-,.I:~w;Tksl;;'-";.7.J.u. co;;;;:r I KlI.4vs~il~JIM.lSl'N . c;,.d~.
Add;~~ IjQ25IJ.Ti!IJ~t;jI1N .$7.
1
"
Owner.L~.~5
p./), B~)<
Use Category:
C Single Family
C Industrial
C Duplex
Num~:~ ~7FiX~:::::I.j
y 1 / D ~ Whirlpool I...J
V \ I ) Lavatory L,m.,5:.,J
Toilet LLtJ"J
Res, Sink L.,_m,.,J
Bar Sink I . .. """.
Water Heater L..",L...,,!
C Gas 5( Electric
@ PwrVnt
Shower L_,__,~_"j
;J'lre0 - Fl,", Om;, ~J
#/4/'" C.,""""Trny _.J
Lab Sink L"m" . ,,,,,,
o Multi-Family
Disposal t,..
Dishwasher
Sump Pump L...m""",,~J
Ejector/Grind
so~~~~ L,.m..'..'
Local Waste 1.. "....,..",
Clothes Wshr L
Bidet L~..,...J
Beer Tap L...""J
Classrm Sink t".m..~..J
Surgeons Sink L....,.,......,..1
C Rental
fCommercial
,
,
. .1
Drink Ftn t. 3
Wait. St. t.
Ice Chest L...~....m..j
Exam Sink L..,.
Sculry Slnk(..,7"c"."'"
Hand Sink L.
Catch Basin I
"
.. .. no"'" ... .. . ,..~
Wash Ftn
Urinal 1..,.3...1
Gar Drain
Soda Disp
Coffee Maker Ll2J,j
F Prep Sink t
Comm. Ice [..
Maker
Serv Sink L....".",'
Int G~:~e L..,,~...,.J
Ext Gr~~=~ L",~..",J
R.P.Z. Valve L,~.!'
Site Drain L,,,.l
Roof Drain L..
Standp Rec t",,,..,j
Eye Wash Stn L........"J
http://www.cLoshkosh.wi.us/community development/inspections/permit ann nlumhim! 2___ 7/Rn007
.PermitApp Plumbing
Page 2 of2
Misc. Fixtures t.
Breakrm Sink t II
Dip Well t.....
Hose Bibs 1....Lf{J
t
Shamp Sink t .
Flr/Wst Sink L........
Wtr s::~ L.
Deduct [
Meters ,.
Wtr Usag
Mtrs ..w.
... of) D
? :,.1371 <2-
Sterilizer Lm
Plaster Sink
l
.1
Electric Contractor L
53~
Permits requiring an Electric Installation Verification form can not be processed bye-mail since both
the application and EIV form must be submitted together. You may print these forms and submit them'
together by coming to our office, mailing them or faxing them together at 236-5084.
Use / Nature of W 0 r ~"m_' m.....mmm.~~~~.Jm~~~...m..m.m~m..~.............m..mmm..mmmmm...~mm..m.m..wm.......m..m~..m.mwm.m....m..mmm.m.mmm .......1
Size
Sanitary S~wer t. 'H~/)
Storm Sewer L..
Water Service
Material Type #
..... .... .........J t.. .... . j I
. .....' I......... ........... .J t.
I............ ...mm~~.mm.mm.w.....J
Conn. Type
!l
. .....: L
http://www.ci.oshkosh.wLus/community development/inspections/permit app plumbinQ 2... 7/8/2007