HomeMy WebLinkAbout0127261-Plumbing
e CITY OF OSHKOSH No 127261
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 210-240 W MURDOCK AVE Owner BRADLEY OPERATING L TD PARTNERSHIP Create Date 10/15/2007
Contractor D.R. HANSEN PLBG.
Category <l~g_:I'29~~trJal~lnteri9r..
Bathtub Shower Water Softner Wait. St.
Whirlpool Floor Drain Local Waste Ice Chest
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink
Toilet 1 Disposal Bidet Sculry Sink
Res. Sink Dishwasher Beer Tap Hand Sink
Bar Sink Sump Pump Lab Sink Plaster Sink
Water Heater Classrm Sink Sterilizer Surgeons Sink
Site Drain Breakrm Sink Dip Well F Prep Sink
Roof Drain Ejector/G rind Drink Ftn Serv Sink
Misc.
Fixtures
Use/Nature
of Work
r220 Papa Murphy's / Tenant build out. **DEBIT ACCT**.
I
I
l___
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
.-.-----.-------------. ---i
;
I
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
Valuation
$5,000.00 Plan Approval ___!9..:9.Q
._---~
Permit Fees
Parcel Id #
1518981100
Issued By
$28.00 D Permit Voided I
--~.,.""""-'-""
Date 1 0/15/2007
-
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 55 KNAPP ST
Agent/Owner
OSHKOSH
Date
WI 54902 - 3448 Telephone Number 233-1595
----- --~ _..._~._._.._~._--_.__.- ~_. ----~ ----
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10/),!2/2007 06: 14 19202337466
Ci~U_g:J.?~.))07 \2:22P;~ Ins~~dICn ~H~I~ES
\nspe'~tl~l\ Servtc~s Pivisicn
P () .Bax ! 130
Oshkosh, WI 54903.1130
rho/v:: (920) 2J6-5050
Fax: (920) 236.S084
DR HANSEN PLUMBING
PAGE 02
,NJ4~' !
~.
DJJm1R
. Plumbing Permit Application
1 ~ereby ap~(y fot CI pCl1I'lit to do snd ins!a11 the following plumbing on me premises hnn_tter d~cril:>ed, the work 10 ,conform to the
Wisc~l\sin S\.l!.~ Plllmbing Code. in the perfOirnllne..: of whieh all parties hereto Ip to and are btlund by said stalUte~
. Applic~rioll(s) and f!5e(!S) l:.W\ be brought to City Hll.lI. Room 205 or mailed to Inspoctlon Services, PO aox 1123. Oshkosh WI
S4903-1118. Commcn~ing work without permit($) will resull i1'l fees bel.ns doubled or $1 00.00 plus the norma.! permit m. which
..ver i~ gr!l:llt~r.
OR,
~~~:~ ~:~n:r l~~:~:::~~::~~~~-;;;r;~~ l%~ec::~~~ Af;covm $'I.Hem and hQ'/4 Qqeg"Qt~ fv1td'L.SJJr.~ ~Jlr"
** Advisory. For appIicabl( pl'ojects, an Electrical Installation Verlf.u:arlon (ElV).fomt, signed by the Electrical
Co"tractoJ' or HOJXl.l:owne;r (for in.stal1adol'1$ allowed to bt performed by the homeowna) J:Ou.rt be so.'bmitted
with the permit application. AJ)l'JiClldolU sobntittt.d wi'Cho'Gt an ElV when such is requlrcc1, wilt not he
processed for Pel'Il'lit Issuance ani will b returned for completion.
~ 5U j"t'~ .3
Job Address kJ M" Q..a~ C-K.... Value (IllCludin8 lI\\lou.14 1Mw.i-.l,)
Owner fA ~A t\\v\\. Pir'l $.,... Contrac:tor
DSlnglc }':lmlly DDlJpl~x. DMulti-Fal1lny
Date / () h 2./0 ).
, ,
DlndUlStri~l
Number of Fixtures:
e.lntyb Dl$~IlII: Orink Fin ~~h 28~itt
Wh:r\~ol --L. D:JIl'I....~h~ Wail. St. WuhFtl'
\..a't'a!MY SUI1'lJl Pbr.lp iOt C/lcsl Urimll
Tolle: -'- Eje<:rDrJO:1nd eXAm Sink Oru- Dllliu
ll-cs SIM Wll!~ ~of\tler Soal!)' Sl"lt $!)t!a Disll
BuSil11( Lo-:ftl Wan; HalId Sink Cum... Mant
WBlcr Hc.!llc:r C10lIlOl Wshr f ~ Sink COllllll. Ice Maker
[ ~ eM _JI;:lactJ l'wrVm Bidet SCIV Sink Silc~ --L
Sl\~~r Beer Tft~ llll ~e Trap Roll r tlr.lin
FliXlr 0""0 -I-- Clen:1U Sil\j( Sou 0Rs$e Tnp 81~ Rtci
LI\d!y T lilY Sur,ieollJ Sin);: R.P,l, V,lye 2yc WISh Sin
L~b &ink Q,tl\bm SIlIk Shamp Sink Wrr SII\YCr MId
PloU!er stD.1; 0';7 WeU FlrlWst Sink Deduct Mdcn
Slerill:rer \.bse: tlihs Vllr ~e Mln.
~isc,
H:<.lu:rt
El~ctric Contractor (for projects not requiring lln EIV Form)
LIse I Nature otWork
Siz~
MaLe(U;l
Type
#
Conlt. Typt
I
i
,
I SanItary S~wer
: S~otm ~wet
: Water Seryice
I
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