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Home My WebLink About0132514-Plumbing (sculry sink & int grease trap) CITY OF OSHKOSH No 132514 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1020-1142 S KOELLER ST Owner KOELLER ONE LLC Create Date 08/22/2008 Contractor SOPER PLUMBING Category 440 -Industrial-Interior Plan FL-326-0808-P Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap 1 Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Toilet Disposal Bidet Sculry Sink 1 Wash Ftn RPZ Valve Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature Install new interior grease interceptor at scullery sink per field notice given to tennant at 1138 S Kceller St (China 1) on 8/21/08 by Health of Work Dept. and Plumbing Inspector. Also repipe scullery sink to meet code requirements. Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type Parcel Id # 1308490000 Valuation $1,650.00 Plan Approval $0.00 Pennit Fees $25.00 ^ Permit Voided Issued By Date 08/27/2008 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 perfomt 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 Date Agent/Owner Address 2225 BURNWOOD DR OSHKOSH WI 54902 -9003 Telephone Number 426-2151 ~ o scneaule 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. Oshkosh Plan Approval Form OSHKOSH ON THE WATER Job Address 1020-1142 S KOELLER ST Approval Type Plumbing Submitter's Name SOPER PLUMBING Address Owner Name Address Approval Number 2483 Plan FL-326-0808-P KOELLER ONE LLC 2275 DEMING WAY 300 Net Days to Complete Review MIDDLETON WI 53562 - 0 Type of Plan INTERIOR GREASE INTERCEPTOR FOR SCULLERY SINK @ CHINA 1 T Fee $70.00 Date Received 08/25/2008 Date Approved 8/27/2008 City of Oshkosh Inspection Services 215 Church Ave., PO Box 1130 Oshkosh, W 154902-1130 (920) 236-5052 (920) 236-5184 FAX O.fHKOfH ON THE WATER August 27, 2008 Soper Plumbing Inc. 10 W 16th Ave. Oshkosh, WI. 54902 Interior Grease Trap Ref: Plumbing Plan Approval: 1020-1142 (1138) S Koeller St., Oshkosh, WI Plan ID# FILE-326-0808-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. Location of interceptor shall meet requirements of COMM 82.34(3)(g) and requirements per manufacturer for regular inspection and maintenance. 2. Cleanout shall be installed as required per Comm. 82.35. 3. Vent piping shall be sized according to Comm. 82.31 and shall not exceed the limits of this section. In the event installation of this plumbing system has not commenced within two years from this date, this approval shall become void. Anew 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. Respectfully, Paul Wolf, Plumbing Inspector ~. p 0 o o y ~G may, c ~ v~J' ~ cGZ <-1 v cF v c r,, ~,~?n2 ~ ~~,~ ~ p 6 ~ ~ ~ J 6 Go~~- ~_ G ,~ ~. ~ v ~ P O 2 ~~ ~. ~. .... tY ~~ M r ~ \ ~~ ~~ ,V l; APPLIGATtON FOR PLUMSING REVIEW . ~ -Complete aI[ pages- ^~~~~ .NOTE: Personal information you provide may be used for secondary (~/' purposes [Privacy Laws, 15.04(1)(m)~ Stets.) • ON fiHE VJdTEA -- General Plumbing . Inspection Services office 920-236-5049, fax 920-236-5106 2. Project Information - Fili in all known information X Projectl5lte Name ` Number & Street / ~~~ r- ~~ yZ f, Q'rl! ~ ~ ~f / County_• ~~~~hnr[Jti~.t~ ~ity ()Village ()Town of _ ~ S ~ ~ O 3 3. Mailing Information After pl ans are reviewed, please: (cheek all that apply} y _ Call Customer 1, 2, 3 (circle one number)' ~! Mail plans fo astome~ 2, 3, {arcie one numberp _ Requesting party w01 pick up. 'Refers to customer listed below 4. Complete the following customer information in the boxes below. X Designer Information (Cnstomer I) (Person who stamped the pion) Other, Pkace Specify (Customer 3) '~a C k Sin fi r' 1.228 6 3 Fast Name Last a Commerce Customer Number First Name Last Name Commerce Customer Number /7 ~ ~ a M ~• L A ~ .. . c.ompaay ame r,it~ ' company Name 1(~ w / C A ~ Address . esllKos~, t~.s s`~qb~, Gry State Zip+4(9digits) Ctry State Zip+4(9digits) 4yo • ~z6 - ~.-rr . (Area Code) Phone Number Fax Nlmttier _ .(Area Code) Phone Number Fax Number emat7 address anat7 address Have you submitted plumbing pleas w Safety & Bw7dings in the last yeah Yes () No x Ownerfnformatioa (Customer 2) Make checks payable to City of Oshkosh, Attach-check here. ~ Fust N ame . Last Name Commerce Customer Number r/ ~~ A Vl Y/1~ y Company Name ' ~~ ~f s= ~~-c,ll~ S-~ Addreaa t~s~k~s~ ~ ,-y~~L - ctry state zip+a (s digiu) ~ Total amount t3ae (From Page 3) 5 7 ~' ~ ~ Minlinum Fee 560.00 (Area Code) Phone Number Fu Number Revenue Code 7657 email address - SBD~164 {R. 01/2007) 1 SUBMIT ADDITIONAL PAGE 2 FOR EACIi NON-IDENTICAL BUILDING OR TENANT SPACE -~ ~~ _ - BUILDING SPECIFIC INFORMATION _~ ~ ~''` r () New () Addition/Alteration ()Revision to Previously Approved plan where approved construction has not been completed ( )Structure is greater or equal to 3 stories in height () Project is Aparlment/Condo only ()Healthcare Related Facility MUIII le IIICLIIC OUIIaID - 1`1uIIIDG1 va lucuu6Y~ uuuuau - - -- - -- - indicate Buildin !tenant Desi nation for Each Buildin andlor Tenant S ace Attach Additional Pa es if Necessa Bulding/Fadlity Name/Designation Previous Tenant Name Building/Facility Addn:ss - „ ~. s~~ ~-{ ~. ~ Fee Computations (dottl~led fot' installation without-°~- , ~ ~ ,• .:_ .. item Description lydicate-items fticludedwith thtssubmittai -approval} (chi'ekappropriata;bozana~rlterfee)'caiculatethe - Required .. for tilts tttititrt g fees s'epara}elyfor each building 4~~ _ , FeB .~ Indicate here the total number of interior fixtures, including roof drains and hose bibs being submitted for this building. TOTAL # - 6 ' Bt3ILD1NG SPECIFIC SANITARY ,~ 4~ r~ s : ~ := ' - _ :. - -Select ONE of thefolloviriri six'o'tiorisaridenterthe~corre idin diameterorDraina eFixtureUnits FU arid~anter.fee - '`~~ 1. ()Interior Sanitary Drain S Vent System and Exterior Sanitary Building Diameter of sanitary building sewer(s) iri inches.-x $40.00 Sewer Diameter of sanitary building sewer, in inches, required to serve 2. () Interior Sanitary Drain and Vent system only. the buildin . x $40 3. ()Exterior Sanitary•Buiiding Sewer(s) only. Diameter of sanitary building sewer(s) in inches._x $25.00 4. ()Interior Sanitary Drain and Vent system within an addition or DFU's new, added or relocated remodeled building. See fee Table 1 on page 4 to convert DFU to a fee 5. O Multple exterior Sanitary Building Sewers serving the single DFU's new, added or relocated • building, and the interior Sanitary Drain and Vent system See fee Table 1 on page 4 to convert DFU to a fee 6. ()Interior Sanitary Drain and Vent System with multiple building drains DFU's new, added or relocated exiting the building, no exterior sanitary building sewers See fee Table 1 on page 4 th convert DFU to a fee 6UILDING SPECIFIC WATER - ~ ~~: ~ .` -, ~-~ ,~~°'~~ 7, . 5e7ect ONE of tbe-follorviu six. tions~and enter the co oridin diameleror Gallons Per Minute GP `and. enter fee Diameter of exterior water service in inrdtes, or if serving a combinafion domestic and fire sprinkler system, diameter of 1. ()Interior Water Distribution system and exterior Water Service 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 2. ()Interior Water Distribution system, no exterior water service or at the buildin control valve in inches. x$40 3. {)Exterior Water Service(s), no interior Water Distribution system Diameter of exterior water service iri inches.. x 525 4. OInterior Water Distribution system within an addition or remodeled GPM added or relocated building, no exterior Water Service See fee Table 2 on page 4 to convert GPM to a fee 5. OMultiple exterior Water Services serving the single building, and the GPM interior Water Distribution system See fee Table 2 on page 4 to convert GPM to a fee 6. ()Interior Water Distribution system wfth multiple services exiting the GPM building, no exterior Water Services See fee Table 2 on page 4 to convert GPM to a fee $.„•Iridte~t~_~tlumb~Kdtefisdelowtncludedwith~tlrssnbmitta"l~~i~~ * ~ ;~~„ -~ W3 ~~~~- '~..-.~"~~-"_, ( ~) Grease Interc;eptor Number of Grease Interceptors .. x $70.00, no additional fee 7 ~' if submitted with Sanity Drain & Vent Number of Garage Catch Basins.. _x $70.00, no additional ( )Garage Catch Basin fee N submitted with San'da Drain 8 Vent ( ) Oii Interceptor Number of Oil Interceptors.. _x $70.00, no additional fee if submitted with Sanity Drain & Vent ( )Car Wash Interceptor Number of Car Wash Interceptors.. _x $70.00, no additional fee if submitted with Sanity Drain & Vent ( )Sanitary Dump Station Number of Sanitary Dump Stations..._x 570.00, no additional fee if submitted with Sanity Drain & Vent ( ) Chemipl System (Not Eyewashes) Number of Chemical Systems.. _x $70.00, no additional fee is submitted with Sancta Drain & Vent ( )Cross Connection Control Assemblies in Health Care Related Number of Cross Connection Control Assemblies... x$125 Faetlities to be reviewed Liston Pa e ( )Request to Register Cross Connection Control Assemblies in Non- Number of Cross Connection Control Assemblies... x5125 Health Care List on Pa e 5 ( )water Reuse system -stormwater for interior use $120.00 minimum for each reuse system. (NOTE: Additional fees xceeds 2 hours ) All ti i 60/h if ( )water Reuse System - ( )water Reuse system -subsurface . rev ew me e viii be charged at $ r lans must be submitted separately to the Madison office Reuse ter irri anon . p Page Fee Subtotal 7 ~' Number of identical buildin s X above Fee Subtotal. Fee Subtotal ca to bottom of Pa e 3 2 9r . _ __: ~. SITE $I?ECIZ=iC INFORMATION °.-`- ^ Y ~; `~-~ ` ~ _ 4 ^ ; k ,. , s ~ - ~ _ _ Fee Computations (doubled for installation without Requ+red Check and complete diameter information if included in this submittal approval) Check a ro riate box and make fee com utation Fee _, ... t _ _ _, , ,. ~ .: _ STORM -;411 Sto~tZi piping is considered site_specifiC.~.)fthe plan includes subsurface ihfiltra6on -submit only to Green Bay, Shawano, or la rd 'Ifthe sulfRrrttal rs-onlwsutisurface infiltration k ~ ~ - Y~ _ '~jrouziay also submit to Madison:: : , _ = :' _ Indicate total number of exterior fixtures such. Dralnaae area served by the stone plumbing system is: as storm drain inlets submitted with this application (Check one and enter corresponding information) -Check all-that a - ... - .. - _ .... PPIY ...._. . A. (.)Less than.or_equal.to..i. acre drainage to the .. . _. plumbing sy,Stem with a single discharge point ( j Interior storm drain system with a Clearwater drain system diameter at discharge point in inches X (If submitting interior storm off, use the roof area to determine the $10rnch drainage area forfees.) B. ()Less than or equal to 1 acre drainage to the ( )Interior storm drain system without a ciearvvater drain system plumbing system with multiple discharge points (If submitting interior storm Qom, use the roof area to determine the Total GPM discharge. See Table 3 on next page. drainage area forfees.) to convert GPM to a fee ( )Storm Building Sewer C. ()Greater than 1 acre drainage to the plumbing ( }Storm Private Interceptor Main Sewer system. Acres SeeTable 4 on next page to convert acres to a fee. NOTE: Maintenance fan submittal re wired ()Storm water and/or clear water Subsurface Infiltration for Public If this submittal is infiltration WITH storm, indicate Building submttted with or without a stone piping system $100.00 in the fee column. Stone System Infiifration volume (gal) Select Green Bay, Hayward, or Shawano offices for plans with infiltration lt submitting infiltration WITHOUT storm, calculate the and other plumbing systems. ff submitting infiltration separately you may select corresponding fee in A, B, or C above as if you were the Madison Office. submitting those elements and enter here Add 5100.00 and enter the total fee in the fee column. ( )Clearwater drain system vv~'thout an interior storm drain system $10.OOInch diameter of each Clearwater drain system Inches X 510/inch ,._ ., r.,.._.. ...:_ ,, ()Submittal of Sanitary Private Interceptor Main Sewer Indicate the number of independent Sum of largest PIMS diameters in inches.. _x $25rnch connections to the munia al sewer or POWTS Com ute for each inde endent s tem and total. .:;WATER ` :. ~ :.: ,... .,.: , ~ ..- :. _ v.y . ;~~~ ( )Private Water Main Indicate the number of independent Sum of water main diameters in inches..,_x $25lnch connections to the munici al water main or well ressure tank Cam ute for each inde endent s tem and total. f 0 _1f.the submittalis for a Mobile Homes Park aid/or; Campground/ _ - Rece'eational.Yehicle Park,~3ndicafethe number of sites and enter:fee. ~~ Mob71e/Manufactured.Home Park-and/or ~ ~ F ~ Required = Mob~le/Manufactured'Home Park and/or R wired _ ... eq ,~ani~ ~ roundlRecreationalYehiclePaiic _ ~~~~ ~ ~,s ~.~ Fee ...~~ ..Came roaniflReereational VeFiicle~arirf '~ '~ •-_:Fee ~~. ~...: ( ) 1-25 Sites $300.00 ( ) 51-125 Sites $400.00 26 50 Sites $350 00 Greater than 125 $500 00 Mobllef#oma=Parfcendlor~ampground/RepreationalVehicle ~• _~_: -. ~: ~ ~ •~ •. Park ~ob[nlfY~iHnoi'ul'es.-.. _ >~, ~, ( )Sanitary Dumb Station r - ~ ~ c,..~..... uo..... ~_____ ~'"~ - ( )Exterior Sanitary Sewer ( )Private Water Main i ( )Sanitary Private InterceptorMain Sewer r~ ~ ,71._OTi~ER•FEES '' t,.. =3 ~: ., ,... , ,. - _ _ _ 4 . Plan royal Extension t ear maximum $100,00 ( ) Revision to previously approved plans - $75.00 Required -NOTE: Must be scheduled with office that previously reviewed the plans ( )Experimental Plumbing System (Submit to Madison Office) Number of Experimental Plumbing Systems... x $500.00 ( ) Aitemate Plumbing System (Submit to Madison Office) Number of Alternate Plumbing Systems... x $400.00 Subtotal From Pa e 2 include subtotals from additional Pa a 2s if used Enter Total Fee Here and at Bottom of First Paae Table 7 DRAINAGE FIXTURE UNIT (DFU) FEE TABLE 'DFU Pipe Diameter Fee (diameter X $40 1 1 114. $50 2-3 11/2 $60 4-6 2 $BO 7-20 3 $120 21-160 4 $160 161-360 5 $200 361-620 6 $240 -621-1400. .. 8 ... _. _ . $320. _. . 1401-2500 10 $400 2501-3900 12 $480 Table 2 WATER DISTRIBUTION FEE TABLE Comm 82.38 Table 2.64-2 GPM Fee 1 to 6 ...................... $20.00 7 to 12 ....:................: $30.00 13 to 21 ...................... $40.00 22 to 31 ...................... $50.00 32 to 46 ...................... $60.00 47 to 77 ...................... $80.00 78 to 119 ....................$100.00 120 to 170 ....................$120.00 171 to 298 .......... $140.00 .. ... _ . .. Table 3 STORM GALLONS PER MINUTE (GPM) FEE TABLES GPM Diameter Fee (diameter X $10finch 1-50 3 $30 - 51-115 4 $40 116-195 5 $50 196-320 6 $60 321-700 8 $80 701-1300 10 $100 .:.1.301-2200. _.... _ . _._ ..12..__..... $1.20 2201-4050 15 $150 4051-6700 18 $180 6701-9880. 21 $210 9881-14700 24 $240 Table 4 STORM AREA FEE TABLE Acres (area drained to a lumbin s tem Fee Greater than 1 to 5 $350 Greater than 5 to 15 $400 Greater than i5 $500 43,560 sq ft =1 acre 12. Agent Municipalities fSee Comm Table 82.20 - 2 for a ent plan submittals) Cities of• Appleton Greenfield Madison Oshkosh GreenlBa Janesville* Milwaukee Sheboygan Y *NOTE: Plans must be submitted to agent, unless waived by them. EXCEPTION: A project in Janesville maybe submitted to the state or to Janesville Some agents are delegated plan review of infiltration systems. See website at http:t%cnmmerce.u~i sv~SB-'SB-PltnnbinaAQentMunis html for the current list. 13. Appointment ,Scheduling information, and Plan Submittal Checklists For your convenience we have installed a 24 hour, toll free_number dedicated to receiving fax plan review appointment requests only, The number is 877-840-9172. Be sure to indicate whether you want the next available review statewide or prefer a choice of an office. You will receive a Schedule Letter back with an Appointment Date, Transaction iD No. and Assigned Reviewer. ,You may also E-mail the request to PianSchedule rnr.commerce sfate wi us. When making an appointment, you may request review for a specific office or desired (beginning) date for review. Plans must tae received in the office of the appointment no later than 2workina days before the confimred aooointmenL Non-scheduled submittals or submittals received wkhout a confirmed appointment date and transaction number on the form may be assigned to offices other than the receiving. office depending on reviewer availability. You may email technical code questions to pibgtech@commerce.state.wi.us. NOTE: To gain more information about Safety and Buildings (forms, codes, staff, etc.), view our website at: http://www.commerce.statewi.us/SB/SB-HomePage.html. Madison S&BD Hayward S&BD LaCrosse S&BD. Shawano S&BD Green Bay S&BD Waukesha S&BD 201 W Washington Ave 10541N Ranch Rd 4D03 N IOnney Coulee Rd 1340 E Green Bay 2331 San Luis Place 141 NW Barstow St 53703 Hayward WI 54843 LaCrosse WI 54601 Shawano WI 54166 Green Bay, WI 64304 4n Floor PO Box 7162 ,Waukesha WI 531883789 Madison WI 63707-7162 715634.4870 608.7858334 715524-3626 820.4925601 608-266-3151 Fax: (for sending questions ' Fez: (for sending questions Fax: (for sending questions FAX: (forsending questions 262-548-860p TDD 608-264-8777 or additional info to or additional info W or additional info to or add8ional Fax: (for sending questions Fax: (for siding reviewers) reviewers) reviewers) info to reviewers) or additional info to ques8ons or additional info 7156345150 606-7859330 605263-7444 920-4925604 reviewers) to reviewers) 262-548.8614 605267-9568 The LaCrosse ofRes is currently not available for appointments. Watch the web site for updates. DO NOT SUBMIT THIS PAGE AS PART OF SCHEDULE REQUEST 4