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Home My WebLink AboutPlumbing- File-289-1107-P ~ OJHKOJH City of Oshkosh Inspection Services 215 Church Ave., PO Box 1130 Oshkosh, WI 54902-1130 (920) 236-5052 (920) 236-5184 FAX ON THE WATER December 11, 2007 Sammon's Plumbing Oshkosh, Inc. 522 W. Murdock Ave. Oshkosh, WI 54901 Ref: Plumbing Plan Approval: Dairy Queen Murdock (Interior Grease Trap only) 510 W. Murdock Ave., Oshkosh, WI Plan ID# File-289 -1107-P Dear Sirs, Examination of the plumbing plans and specifications for this project has been completed. In accord with Chapter 145, Wisconsin Statute, and COMM 81 through 85, Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon compliance with the stipulation(s) noted below. . 1. Cleanout access shall be provided for the outlet of the interior grease trap per COMM 82.35 In the event installation of this plumbing system has not commenced within two years from this date, this approval shall become void. A new application accompanied by full examination fees shall be filed and an updated approval received before work may commence. In granting this approval, the City of Oshkosh or its representative does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation. The City of Oshkosh reserves the right to order changes or additions should conditions arise making this necessary. It shall be necessary for the installing plumber to obtain a plumbing permit from the City of Oshkosh before proceeding with actual installation of this plumbing system or any of its parts. Respectfu lIy, Richard Wood, Plumbing Inspector ,;., l/11t,.;. commerce.wl.gov ~!!~9n!!O Safety & Buildings Division Bureau of Integrated Services APPLICATION FOR PLUMBING REVIEW AND CROSS CONNECTION ASSEMBLY REGISTRATION -Complete all pages- NOTE: Personal information you provide may be used for secondary purposes [Privacy Law s.15.04(1)(m), Stats.] GENERAL PLUMBING This form may be utilized for fax appointments. Indicate date plans will be in our office: ~ Circle your choice of office: 1.Next available appt in any office 2. Green Bay 3. Hayward 4. kaCresse 5. Madison . Shawano 7. Waukesha NOTE: We reserve the right to re-distribute plans to another office if needed to reasonably balance turnaro ~. es. Email address for clan schedulinll is: PlanSchedule@.commerce.state.wi.us Toll free fax number (8771 840-9172 1. Complete for confirmed appointments': Transaction ID: For more efficient service, you are encouraged to pre- Previous Related Trans. ID: hit, -.2.~'f - 1/(/7 -;0 schedule your plan via our web site at http://commerce.state.wi.us/SB/SB- Assigned Reviewer: Divplal'1RevSchedlaunch. html. Assigned Office: See our website for next available appointment at Review Start Date": blliLllcommerce. wi .Q0v/SB/SB-DivDailvDoc. htm[ or for plan status check htlP..;LLcommerce.stale.wLusfSBi.!3B- 'Plans must be received in the office of the appointment no later than DivReviewStatusSearch.html 2 worklna davs before the confirmed accointment. 2. Project Information - Fill in all known information ProjecVSite Name Dairy Queen 510 W. Murdock Avenue Number & Street County vJinnebago (Xj City ( ) Village ( ) Town of Oshkosh 3. Mailing Information After plans are reviewed, please: (check all that apply) _ Call Customer 1, 2. 3 (circle one number)" _Mail plans to customer 1, 2, 3, (circle one number)" _ Requesting party will pick up. 'Refers to customer listed below 4. Complete the following customer information in the boxes below. Designer Information (Customer 1) (person wbo stamped tbe plan) Otber, Please Specify (Customer 3) Wade Sammons MP230683 First Name Last Name Commerce Customer Number First Name Last Name Commerce Customer Number Sammons Plumbing Oshkosh, Inc. cosany Name Company Name 22 W. Murdock Avenue Ad(~Yshkosh , WI 54901-2298 Address City State Zip + 4 (9 digits) City State Zip + 4 (9 digits) 920-231-9880 920-231-8485 (Area Code) Phone Number Fax Number (Area Code) Phone Number Fax Number sammonsplumbing@ntd.net email address email address Have you submitted plumbing plans to Safety & Buildings in the last year? 1.0 Yes ( )No Owner Information (Customer 2) Make checks payable to Dept. of Commerce, Attach check here. Rick Dworak First Name Last Name Commerce Customer Number Dairy Queen COffisany Name Murdock Avenue 10 vJ. Address Oshkosh, WI 54901 70.00 City State Zip + 4 (9 digits) Total amount due (From Page 3) $ 920-235-2253 Minimum Fee $60.00 (Area Code) Phone Number Fax Number Revenue Code 7657 email address I THIS FORM IS VALID THROUGH January 2008 SBD-6154 (R. 01/2007) 1 c SUBMIT ADDITIONAL PAGE 2 FOR EACH NON-IDENTICAL BUILDING OR TENANT SPACE 1. ( ) Interior Sanitary Drain & Vent System and Exterior Sanitary Building Sewer 2. ( ) Interior Sanitary Drain and Vent system only. 3. ( ) Exterior Sanitary Building Sewer(s) only. 4. ( ) Interior Sanitary Drain and Vent system within an addition or remodeled building. 5. ( ) Multiple exterior Sanitary Building Sewers serving the single building, and the interior Sanitary Drain and Vent system 6. ( ) Interior Sanitary Drain and Vent System with multiple building drains exiting the building, no exterior sanitary building sewers Diameter of sanitary building sewer(s) in inches._ x $40.00 Diameter of sanitary building sewer, in inches, required to serve the buildin . x $40 Diameter of sanitary building sewer(s) in inches._ x $25.00 DFU's new, added or relocated See fee Table 1 on page 4 to convert DFU to a fee DFU's new, added or relocated See fee Table 1 on page 4 to convert DFU to a fee DFU's new, added or relocated See fee Table 1 on page 4 to convert DFU to a fee 1. ) Interior Water Distribution system and exterior Water Service 2. ( ) Interior Water Distribution system, no exterior water service 3. ( ) Exterior Water Service(s), no interior Water Distribution system 4. ( ) Interior Water Distribution system within an addition or remodeled building, no exterior Water Service 5. ( ) Multiple exterior Water Services serving the single building, and the interior Water Distribution system 6. ( ) Interior Water Distribution system with multiple services exiting the building, no exterior Water Services Diameter of exterior water service in inches, or if serving a combination domestic and fire sprinkler system, diameter of interior water distribution immediately after the meter or at the buildin control valve in inches... x $40 Diameter of interior water distribution immediately after the meter or at the buildin control valve in inches. x $40 Diameter of exterior water service in inches.. x $25 GPM added or relocated See fee Table 2 on page 4 to convert GPM to a fee GPM See fee Table 2 on page 4 to convert GPM to a fee GPM See fee Table 2 on page 4 to convert GPM to a fee ) Garage Catch Basin ) Oil Interceptor ) Car Wash Interceptor ) Sanitary Dump Station ) Chemical System (Not Eyewashes) ) Water Reuse System - stormwater for interior use ) Water Reuse System - ) Water Reuse System - subsurface ra ater irri ation Number of Grease Interceptors... _x $70.00, no additional fee if submitted with Sanita Drain & Vent Number of Garage Catch Basins... x $70.00, no additional fee if submitted with Sanita Drain & Vent Number of Oil Interceptors. . ,_x $70.00, no additional fee if submitted with Sanita Drain & Vent Number of Car Wash Interceptors.. ,_x $70.00, no additional fee if submitted with Sanita Drain & Vent Number of Sanitary Dump Stations.. ,_x $70.00, no additional fee if submitted with Sanita Drain & Vent Number of Chemical Systems.. ,_x $70.00, no additional fee is submitted with Sanita Drain & Vent Number of Cross Connection Control Assemblies... _x$125 Number of Cross Connection Control Assemblies... _x$125 $120. minimum for each reuse system. 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