HomeMy WebLinkAbout0126550-Plumbing (drainage)
.
.~
~.
~
OSHKOSH
ON THE WATER
Job Address 2800 N MAIN ST
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 126550
Owner PACKER AVENUE PROPERTIES LLC Create Date 08/31/2007
Contractor JOE DENOBLE SEWER & WATER INC.
Category 430 - Industrial-Exterior (laterals) Plan
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature 6" sanitary relay, 24" storm outlet and 11 catch basins for area drainage serving new building addition.
of Work
I
,
Coffee Maker
Int Grease Trap
11 Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
Issued By
Size
Material
Plastic
Sanitary Sewer
6"
Type
Lateral
Conn. Type
Relay
New
$115,000.00
$0.00
$177.00 D Permit Voided I
Parcel Id #
1519600301
Plan Approval
Permit Fees
#
Date 08/31/2007
Storm Sewer
24"
Plastic
Lateral
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 older(s) nd to se re any ece a approvals before starting such activity.
Signature
Water Service
Agent/Owner
DENMARK
WI 54208 - 0000 Telephone Number 920-863-5528
Address 4773 PODLASIK LN
Date 2 ,- 3/~O J
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 &ox 1130
Oshkosh, VVI54903-1130
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
VVisconsin 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 VVI
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 vou are a contractor particioating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this orocessed through vour 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. ~
Job Address d<ilOO (/J (11Al"- S~ Value (Includinglaborangmaterials) ~/S'OOO Date-f-j()-()1
Owner ~"1t'~ \b\n\~~~ Contractor ~ eltlfl:le Seloer
DSingle Family Dnuplex t]Multi-Family DRental DCommercial [JIndustrial
Number of Fixtures: ~
Bathtub Disposal Drink Ftn Catch Basin
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
C Gas 0 Elect J 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 FIr/Wst Sink Deduct Meters
S teri I izer 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
Sanitary Sewer to " ~VC 5<.1.~O I ~U/
Storm Sewer ~ /7):Jf;' (, /
.).. ~ 4 A/e~
VVater Service
07/07