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Home My WebLink About0126964-Plumbing t~ CITY OF OSHKOSH No 126964 ., ~ OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 527 E PARKWAY AVE Owner BOY'S & GIRL'S CLUB OF OSHKOSH, INC Create Date 09/24/2007 Category 401 - Residential-Exterior (laterals) Contractor KOCH PLUMBING Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/Wst 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 Raze and Remove 2 story building - Teen Center and 2 Apartments. (Water abandoned by City at Main???) of Work Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation Issued By # Conn. Type Size Material Type Parcelld # Date 09/26/2007 Sanitary Sewer Storm Sewer Water Service $200.00 $0.00 $25.00 D Permit Voided I Plan Approval Permit Fees 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 2005 DOTY ST Agent/Owner OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235 Date 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. !p 21 07 09:30a < City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Clarence Koch ( 920) 235-0282 p.l ~ OJHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the pexforma:nce 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. Conunencing work without pennit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR Ifvou are a contractor varticivatinf! in the Permit Fee Account System and have adequate funds. check here if YOU want this Drocessed throuf!h your account J5<l Job Address5Z7 E h-/Z"~A-9' Value (Including labor and materials) ZL:>O ~ Date 9-24-07 Owner !- ~r/!5':1? Y:k#h';;:";;-:.s'- Contractor Ic~c,q ~?J/k..~-:;;-i.<;; DSingle Family DDuplex DMulti-Family DRental DCommercial Dlndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elecl 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. FIXtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Breakrm Sink Dip Wen Hose Bibs DrinkFtn Catch Basin Wait. St - Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Inl Grease Trap Roof Drain Ext Grease Trap Standp Rec RP.z. Valve Eye Wash Sm Shamp Sink Wtr Sewer Mtrs F1rlWst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor OR . DElectric Installation Verification form attached (If Replacement) # Use I Nature of Work /I 8/1A/4d;,.<,/ Size Material ~~c.. 2C /~ r ./~ ,,<!t1- ?-;/ ::_.~:;' -:;)L ..~t:::. r~, ~,; r"~' ~. .... I Type # Conn. Type Sanitary Sewer Storm Sewer Water Service ,.:,.' .'!':.:. ~'-'-r ),-- 9-2'4-07 n/os WATER DISTR!BrUTION JOB R PORT WARD: '-t LOCATION: WORK DONE: INV#: REMARKS: GRAVEL: QTY: PAR S: , WORKERS: J\L .; ., ,,} r . . ....,.."'.-\:r;: 1/...../\ \q ( :2... DATE: C}-\').{Jl DHL#:'}06,/-3b...O! CR\ TIME OF LEAK: # of GALLONS LOST: HYDT#: VAL VE#: SIZE: MAKE: VALVE TURNED SIZE & MAKE V#: V#: V#: V#: V#: V#: TURNS MEASUREMENTS: jftrnftf\ ,?,' f./ ~JJL'J ~_. ~h b J ~ . , .. Cl.J.~j,vfjj ') JJ'(I J6D751S,}, PERMIT: {)ro ;) . BLACK DIRT: YES@ REPAIRS REQUIRED APRON TYPE: CONCRETE c=J ASPHALT/HOT MIX c=J ASPHALT/COLD PATCH c=J STREET SURFACE: CONCRETE D ASPHALT c=J ASPHALT/CONCRETE ~ # of SIDEWALK SQUARES c=J CITY HALL 215 Church Avenue P.O. Box 1130 Oshkosh, Wisconsin 54903-1130 (f) OJHKOfH CITY OF SHKOSH WATER DISTRIBUTION CENTER DISCO TINUED SERVICE FROM WATER MAIN DATE ADDRESS 9/12/2007 52 E Parkway Ave. TYPE LEAD COPPER IRON SIZE 3/4" WORKERS jk, kn, jp MEASUREMENTS Monroe 37' 6" W of W - E Parkway 6' N of S /4" lead service off main - no arts Permit #20075152 - as halt/concrete street Ja.ck Reichenberger - S perintendent Water Distribution Cent r .... \.: !t 01 07 11:18a Claren e Koch Mar 22 04 u2:30p kosh inspec~10nS (920) 235-0282 ~cU-c::Hj -:.;>ut:j"t p. 1 F. 1 l"-(~;ly of OShk0ShEngTne ring Dept."--- ..-'- -T-- . ---.--.---Street.---------.1 L L~~:',~~~~:i~~ry - S8':". ~:t~l;a~r~~r~~~ ~~@A -7:" -= _~___~_l I Address: . .............21 .' Date: -'" By: , . . ....... '. 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I r- .--j--+' ---+-----1. : Storm \ ill r Waler . t- -+ -I ._-t~--- I ' ,I _~ _---.-l-~- .-- .-...-.---.-:..---- --------- .street By: Location Pul::}ic Works copy Post-iF Fax !\Jote 767, Oat".:;!,; ;)/:4 !p~~;'" 7! 1"<> e~ 1...I T <" ,-{ From ! (!- ~.tf:,; " '_ . ..... I: r CO....G..pl. Co PhO'10 .: Pho"" U Fail' 41 <,2- !~-}- CJ-~ ;l- Fa. h