HomeMy WebLinkAbout0126060-Plumbing (ADA compliance)
. CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ONTHEWATER~.
Job Address 30 1-3015 AIN ST Owner DANIEL E DOWLING
Contractor GART AN MECHANICAL SERVICES Category 440 - Industrial-Interior
Shower Water Softner
Floor Drain Local Waste
Lndry Tray Clothes Wshr
Disposal Bidet
Dishwasher Beer Tap
Sump Pump Lab Sink
Classrm Sink Sterilizer
Breakrm Sink Dip Well
Ejector/Grind Drink Ftn
No 126060
Create Date 08/02/2007
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature IND / move location of lav for ADA toilet compliance. **DEBIT ACCT**.
of Work
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
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
. Issued By
Size
Sanitary Sewer
Storm Sewer
Water Service
Material
Type
#
Conn. Type
$600.00
$0.00
Parcelld #
1519600502
Plan Approval
Permit Fees
$25.00 D Permit Voided I
Date 08/02/2007
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 520 W SOUTH PARK AV
Agent/Owner
OSHKOSH
Date
WI 54902 - 6470 Telephone Number 920-231-5530
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.
~~UG-O~'~7.0~: ~ov~~ 41~' ;,~",
City of Oshkosh
Il1spection Sorvices Division
POBox 1130
Oshkosh, Wl54903-1nO
Phone: (920) 236-5050
Fax: (920) 236-5084
P,01101
IIIUPUUI. lUll \,lVI 1 I \1\1 V
~
OfRKOJ8
ON flolE WAr!!"
Plumbing Permit Application
1 heroby apply for a pmnit t() do and ilUtll.ll the following plumbin~ aD. the premilles hercinaftr:r dt:llcribed, tha wone to conform to the
WisCOJlSixl State Plumbing Code, in the perl'orrnance ofww.;h all parti.e& hereto agree to llJ:lU ar~ hound by 1I11id IItQtl.lfe8.
. Application(s) and fll:c(s) can be brought to City Hall, R.oom 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without penn:it(S) will result in fees being doubled or $100.00 plus the
normal permi1 fee, which ever is greater.
OR
~~~:= :;8 a ~~;traclor ~ar::~~=::. ~ ~.'J. ::rml'l Pee Accownl SV:ittJm anti have. al[ftquatf! funds. check htJrji
_____ _anI t_,_procf!si~d__b__----:-__ o_r__~c_~t ~
JobAddress 30lSIJ I?IIIIJ OS" Vallle(lncluclilll&111burandlTllll:rill.ls) bOo.oo Date fJ{,)~ J..
Owner IJl1N_I)()trJL.I",r; Contractor "lilT rJ"IV l'1ec.1'I
DSJngle Family DDuplex []Multi.Famlly []Rental DCommercial [0Iodastrlal
Number of Fixtuns.
BA !btull
W,.l})aol
uvatary
Toilol
R<l!l. Sink
aar Sill'll(
WllfJI' Heater
a au w llIllQt ~l
flhoMT'
Ploar Prain
>(
Uldry TnIy
t...eb .s In 1<
Pl~r Slnk
S~rill=
M{~.
flxtum --L
Electric Contractor
Use I Nature ofWot"k
Disposal
Dishwashlll'
Slimp Pump
I:.jeolorlCrind
Willm" Smlntlf
Loc.lll WWiI.l!l
Clothllli W~hr
aid~l
90= Tal'
Chlllllrm Sink
Sjjrgl!lln~ Sink
B~Il\t.JTTl Sink.
Dip Willi
lio8C Eib~
Clink Ftn CnlCh Bum
Wait St WaGI1 pin
Ig;. Ch~81 Urinal
ij,Jr;'''' Sin'k Olr Pnt.lll
Soulry Sink SoLlIl Dillp
J:Un~ Sink Col1Oc MIlkm
11 Prcp Slnlc Comrn.I(!Q Maker
Scrv Slnle SII6 Dniin
lnt Greue Trap Roof DrRin
BKt Ol'eli5C Trilp 91amlp k."
R..P .Z. Valve Eyo WlI4h Stn
Shamp Sink WIr$.wcrMlr8
FlrlWS1 SinK O.dUQI Mrlc"!j
Wrr llsage MIU
OR . DElectric Installation Verification form attacbed.
(If Rt:pIIlCl:ml:'llt)
I"J 0 1/ C.
t...ccATIC'" flr i.lfv
rc~
All IJ rOI L~r . Co/JJL lit^'"
Material
#
Sanitary SewCT
Storm Sewer
Water Service
Size
Type
Conn.. Type
7)(QO
I~ It
;ufos
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