HomeMy WebLinkAbout0127412-Plumbing (abandon laterals)
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OSHKOSH
ON THE Wf~TER
Job Address 1815 TAFT AVE
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 127412
Owner DUMKE & ASSOCIATES LLC Create Date 10/23/2007
Plan
Contractor O'NEILL ENTERPRISES INC
Category 430 - Industrial-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature ~bandon existing 4" water lateral and 4" sanitary sewer.
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Type
#
Conn. Type
I
i
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$1,200.00
$0.00
$25.00 D Permit Voided I
Parcelld #
1608700901
Permit Fees
Plan Approval
Issued By
Date 10/23/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 522 W 6TH AVE
AgenUOwner
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10/22/2007 15:24 FAX 19202302008
ONEILL ENTERPRISES
14I 0021002
.'
. City Qf Oshkosh
InspectioR Sorvices Division
POBox U30
oShkosh, WI 54903-1130
Phone: (970) 236.5050
FlU': ,(!}20) 236.S0~4
Plum~,i.ng PerfR'it.A,.Uoa.tion
. '
Ihereby ap,ly for a Permit to do and ~l the follow~g pJUt1lb4liop the p~mises '~orcinafter ~c!IQribcd, ~ W9dtto QO~form.~ tb~
. WisQOn,~ State PI\lD1bmg Code,1n the perfonnan~.Qrwhieh llll partips heretO agree t() tNld 4lllb(l'uittby.afd-stDtU~.
,
. Application(s) ~d fee(s) can be brought to City HalJ,Room 2.05 01': mailed to InspectioIl Service&~POBoxJ12$: ",
Oshkosh WI 5490J-1128. COZ'llmencing work without pennit(s) MIl result in feesb~~gdoubl~ or$lO.o.-.Q().:plt1$,the
: normalpennit fee, which ever is greater. . . , . . '. .
~ '
1r~:::~n: thj:~~~:=::.~r:i~~~~n:;,~~~:~::;~' Accgun~ SV8t~..and ~au adequateefu~(i",.ffh~(i~,*,.. . .
Job Mdress 1/5 IS 'icf+ A v<e- . Value ("""j..''''''"" r!f ~ a. 0 o. tJ/). ).)aw ,j O-a'J..' ~
Owner f) Jfll ft;.e 'f (tJ..d I Contractor. . (J ; 1lJ-l1. / J G 171lA~ . . . .
DS~e Family DDuplex DMulti.FamiJyDRe~tal ~om~erCial Dlndu,tJ;al
Number of'Fixtu~s;
---
Drink Pm
Walt.St.
100 Chest
Bxam :$lnk
, Sculry Sink '
HBIld Sink '
P Prep Sink
SGJY Sink
Int Grease Trap
Ex! Greaso 'limp
R.P oZ. Valve.
Shamp SIIlIe .
P1tlWst Sink'
--
Catch 'Bwn
WIIShPtn
UrlnaI
Gllr Dr$n
SodaDIsp
CQ.troo MIkct
Comm. (GO Makor
SUo Dnlin '
Roof Dndn
Standp Reo
Byo Was!! 8tn .
Wtr SOWDI' .MtrI
~Me1etI
Wtr USlIP MtrI
~
Bathtub '
Whirlpool
LoV!llOry
Tollo!
Res. Sink
. Bar Sink
Water Hoator _
O. au 0 B1ecl 0 PwrVnt
~
Olspoaal
Dishwasher
Sump Pump
BJectOr/Orind
Wlltot Softner
Local Wuto
Clothes Wahr
Bitlot
B"r Tap
Classrm Sink
Surgeons Sink
Breokrm Sink
DipWolI
HOllO Bibs
.....--
~
. i -----
.-
SbQvm'
Floor Dmin
Lndry Tray
Lab Sink
PhlSler Sink
SteriIizci-
Misc.
. _ Fixtures
Electric Contractor
~
------
,-'
OR DElectric In,staU~tjon Verification form 1i<<a.'chOd
. (Jr~placemont) ,
Ctlp..ey,ttJ7Ut1 4-" uJatvz rrn-W ~ '1Jl~~
Use I Nature or Work
, Siu
Material
Type
'#
Conn. Type .
Sanilal'y Sewer'
Storm Sewer
Wat" ~orVice
Ul0'5
~10/19/2007 15:27 FAX 19202302008
City of Os'hkosh
Inspection Services Division
P O"Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
ONEILL ENTERPRI
~ 001/001
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Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the
Wisconsin State Plumbing Code, in the perfonnance 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 pennit 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 Drocessed through your account n
** Advisory - For applicable projects, an Electrical Installation Verifi.cation (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 Slibmitted without an EIV when such is required, will Bot be
processed for Permit Issuance and will b.e returned for completion. ~I
1~ I~ ---afJ.f<,I/1Ve. ()C>() ~ 'O-jCj.tJ?-
Job Address () ~ / ~ . Value (Including labor and materials) J .. . Date P .
Owner iJl.,n,te~.t.tlM1. Contractor (10~1 Mff'/pr/~///}c.
DSingle Family DDuplex DMulti-Family DRental. ~ommercial Dlndnstrial
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait.St Wash Ftn
LavatOlY Sump Pump lee Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Scully 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 Sm
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well FlrM'st Sink. Deduct Meters
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use I Nature of Work (1/7 p J(Xll ff//) -1 Wa&
Size Material Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
07/07