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Home My WebLink About0127859-Plumbing -~e OSHKOSH ON THE WATER Job Address 631 HAZEL ST CITY OF OSHKOSH No 127859 PLUMBING PERMIT - APPLICATION AND RECORD Owner HEALTH CARE REIT INC Create Date 11/15/2007 Plan Category 430 - Industrial-Exterior (laterals) Contractor O'NEILL ENTERPRISES INC 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 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature ~bandon sanitary sewer and water lateral to boiler room to be razed. Inspection revealed building has been razed before plumbing permit of Work ~as issued and laterals were abandoned. Sanitary sewer was visible at inspection and not sealed. Valuation Issued By Size Type # Conn. Type Parcelld # 1103740000 Date 11/16/2007 Material Sanitary Sewer Storm Sewer Water Service $500.00 $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 522 W 6TH AVE Agent/Owner 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. ~1,.1/~5/2007 08:34 FAX 19202302008 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ONEILL ENTERPRISES 14I 001/001 ........ , . ';. " ... ..." .. .... " ,,', ""'.' . . . . . .. ~ ,'. .. ,,,' .: .. ..:.: . .c:-;:;:., .....;: '. ..,.. .. . ..", . -- . .'... , .', '." .. . ". ....,.. ."":.""".U . . . '~-. .':: " .. . '. . ." ;':'.w"',:-" ;.".n x.:'.. ~ . . . , . eg..... . ,- . - ,.......".".~. '..... .' ,". ,"...., .... . . "" , . '." ....., ...... . "" .,,".. - .. ..." , . . ~. ..... .' . 0... '. ;. . ., .! ";-,' _..:: ~... .::. ". ..: .: . .., . . . .,........ ,. .. ........" : :',. ',. ; ",: ~.. ,.,. . .:. Plumbing PermitApplication 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 $100.00 plus the normal pennit fee, which ever is greater. OR I ee Account S stem and have ade uate unds checkhere ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) foon, signed by the Eltctrica1 Contractor or Homeowner (for :i:nstallations allowed to be penormed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV w~~ such is required, will not be processed for Permit Issuance and will returned for completion. {$ Job Address Value_."""illffumn Da;Jj/61fl Contractor D lA PI!- I.. DMulti-Family DRental ~Commercial Dlndustrial Number of Fixtures: Bathtub Disposal DrinkFtn Catch Basin Whirlpool Dishwasher Wait St Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet E jector/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 Eject 0 PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classnn Sink Exl Grease Trap Standp Roo 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 Type Conn. Type Material Sanitary Sewer Storm Sewer Water Service 07/07 City of Oshkosh Engineering Dept. Street Location of Sanitary - Storm - Water Laterals 631 Hazel St ~bandonment D New Installation 11/16/07 O'Neill Enterprises ~ Material Size Depth Location Sanitary iron 4" 4'-6" 200' S off corner of Cleveland and Grove on Grove Storm Water iron 10" 8'-0" 228' S off corner of Cleveland and Grove on Grove Property File Copy