HomeMy WebLinkAbout2007-Plumbing (laterals)
G.
OSHKOSH
ON THE WATER
Job Address 1325 W FERNAU AVE
CITY OF OSHKOSH
No
126331
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
Owner Create Date 08/17/2007
Category 430 - Industrial-Exterior (laterals) Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin 2 Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor VAN HANDEL EXCAVATING INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Laterals with tracer wire to new industrial building, "Roll Expert". 15" stonn to pond with 2 catch basins, 8" water lateral and 6" sanitary sewer.
.Plan review shall be submitted if required per COMM 82.20..-
Size Material Type # Conn. Type
Sanitary Sewer 6" Plastic Lateral 1 New
Storm Sewer 15" Plastic Lateral 1 New
Water Service 8" Plastic Lateral 1 New
Parcel Id #
$30,000.00
$0.00 Permit Fees
$164.00 D Permit Voided I
Plan Approval
Date 08/17/2007
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 penn it application within an easement, the City strongly urges the permit applicant to contact the
easement holder. s) and s./ecyrr any essary approvals before starting such activity.
Signature ~ IIA Date
Agent/Owner
8'~ 17 -0/
Address 5325 N BALLARD RD
APPLETON
WI 54913 - 0000 Telephone Number 730-9000 MPRS 31
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
P 0 BOIId 130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
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
If YOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if YOU want this orocessed through your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
)J
Job Address !5;)Sl.J. fe..rll~ t{ Aile. Value (Including labor and materials) )'0/000. c)D Date 8-/7~ 0./
Owner Roil [XDC/'I 11 L-- Contractor ;f..,.. R S-t"ee/
DSingle Family / DDuplex DMuiti-Family DRental ~Commercial DIndustrial
Number of Fixtures:
Bathtub Disposal Drink Ftn Cl!tch Basin d....
Whirlpool Dishwasher Wait.St. Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker
o Gas 0 Elect 0 PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well FlrlWst Sink Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work
Size Material Type # Conn. Type
" //~II ~ L~-I (/.../ / /f!( ~
Sanitary Sewer t,
jr-oA I ' I , VI.. I ~
Storm Sewer
Water Service ...... , I . ' t l , 1
?
07/07
WARD: /02. .;. J..
DATE~ 'B';;l.::J...-() 7
. DHL#:
LOCATION: /3~5 W
.-
.r~t"'1"1.a.~1
WORK DONE: mc..-f:.e, X>- ~ T ;..... 0 t1 '6.'- r)\Dl..J V\
DJ.J P'C/J.j\/f)() IjJef
TAP
CUT-IN X
SIZE: ~
CONTRACTOR:
V ~ h f..k.Je.-/
INV#: QTY: PARTS:
/If tJ ?Ar -l-s (s V;^p/J~d. 6'1 (!on7;t>.(..Tdft.)
MEASUREMENTS:
'-ll(.p' tAl ~.t l, II/..../~nd'
~ . AI o..P 5 F f!:..rrl a. \.A.
PERMIT#: .
BLACKDIRT: YES ~
CONCRETE: YES ~
DETAILS: -
GRAVEL: AJO
.
REMARKS: Perm"tt* JJ6yq.
WORKEjlS: ~S ('"1" Ry
lAiD ~D ~ {.;IDY:l
~
OJHKOJH
City of Oshkosh
Inspection Services
I
215 Churqh Ave., PO Box 1130
Oshkosh, :WI 54902-1130
(920) 236~5052 (920) 236-5184 FAX
ON THE WATER
Dennis VanHandel
VanHandel Excavating
5325 N. Ballard Rd.
Appleton, WI 54913
September 4, 2007
Roll Expert LLC (exterior sewer & water service)
Ref: Plumbing Plan Approval: 1325 W. Fernau Ave., Oshkosh, WI
Plan 10# Y2-262-0807-P
Dear Sirs,
Examination of the plumbing plans and specifications for this project has been completed. In
accord with Chapter 145, Wis~onsin Statute, and COMM81 through 85, Wisconsin
Administrative Code, the plumbing plans and specifications are approved contingent upon
compliance with the stipulation(s) noted below.
I
1. Building sewer cleano~t access shall comply with the requirements in COMM 82.35 for limits
on developed distance'between c1eanout accesses for sewer in excess of 100 feet in
I
developed length.
2. Wisconsin State Statutes require the ability to trace all non-metallic underground utility
service be installed at the time the utility is installed.
3. Future construction sit~indicated on the submitted plot plan would require modification of the
cleanout access for th~ future building drain conversion of building sewer to meet the
building drain maximu~ separation of cleanouts to 75 feet.
4. All exterior building sewer cleanout risers shall be provided with required frost sleeve
protection per COMM 82.35
I
i
I
In the event installation of this plumbing system has not commenced within two years from this
date, this approval shall becom~ 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 in or after installation. The City of Oshkosh reserves the right to
order changes or additions sho~ld 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 lIy,
Richard Wood,
Plumbing Inspector