Loading...
HomeMy WebLinkAbout0132830-Plumbing (laterals)CITY OF OSHKOSH No 132830 OSHKOSH ON THE WATER Job Address 840-854 NEBRASKA ST Contractor O'NEILL ENTERPRISES INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work PLUMBING PERMIT -APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Owner MK-1 LLC Create Date 09/12/2008 Category 430 -Industrial-Exterior (laterals) Plan Z3-325-0808-P Wait. St. Shamp Sink Coffee Maker Ice Chest Flr/VVst Sink Int Grease Trap Exam Sink Catch Basin Ext Grease Trap Sculry Sink Wash Ftn RP2 Valve Hand Sink Urinal Eye Wash Statn Plaster Sink Standp Rec Wtr Sewer Mtrs Surgeons Sink Ice Maker Deduct Meters F Prep Sink Gar Drain Wtr Usage Mtrs Serv Sink Soda Disp sanitary sewer, 1-1/4" copper water lateral from plan. Size Sanitary Sewer 4" Storm Sewer Water Service 1-1/4" 1-1/2" and 1-1/2" plastic water lateral from stop box to building per Material Type # Conn. Type Plastic Lateral 1 New Copper Plastic Parcel Id # Valuation Issued By $3,000.00 Plan Approval $0.00 Permit Fees Lateral 1 New Lateral 1 New $100.00 ^ Permit Voided Date 09/12/2008 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 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 Date Address 522 W 6TH AVE Agent/Owner OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 aw~~suu~ts mspecnons grease can the mspectlon 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. 09/10/2008 17:02 FAX 19202302008 ONEILL ENTERPRISES C~J003/003 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax;(920)23b-5084 Plumbing Permit Application 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) wilt result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted with the permit applit:aiion. Applications submitted without an EIV when such is required, w~1 not be processed for Permit Issuance and will be returned for completion. ~ //yy~~ Job Address ~ ~ d~ ~ Value (Including labor and materia3s) ~~WO ~ Date Q Owner ~~r,{l)/1~ Contractor ~ / - c./! ^Single Fatuity ^Duplez ^Multi-Family ^Rental Commercial ^Industrial Number of Fiztures: Bathtub Disposal Drink Ftn Catch Basin Whvlpool Dishwasher Wait. St Wash Ftn Lavatory Sump Pump Jce Chesf Urinal Toilet Ejector/Grind Exam Sink Gar Draia Res. Siok Water Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffce Maker Water Heater Clothes Wahr F Prep Sink Comm. ice Maker ^ Gu Q Elect ^ PwrVnt Bidet Serv Sink Site Drain Shower gce,. Tap Int Grease Trap Roof Drain Floor Drain Ciasstm Sink Ext Grease Trap 5tandp Rec Lndry Ttay Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Bteakrm Sink Shamp Sink Wtr Sewer Mfrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mfrs Misc. Fixtures Electric Contractor (for pr,,oje~cts nnot requiring an EIV Form) Use /Nature of Work \.I~ s~'GUt.U~C,~ JQ~G~~~l ~ ~ size lvtaterial ~~--~~~--.,y++pe # cone. Type Sanitary Sewer ~ t t PUG ~1G ~~ Storm Sewer p Water Service ' ~ ° t-1~~...y o~/o~ [*] waRD: 3 ~ _ DATE: ~i% , .~ DHL#: LOCATION: ~~/D - SS~~~.s~~. WORK DONE•_ jyJ~/(e % ~~ ~ ~~ or, C .. ~~ `n TAP ~l CUT-IN SIZE: CONTRACTOR: d ~G'e,_~ INV#: QTY: PARTS: et ~~ ~G' ~'~ ~ ., %,/ ~> .~t~ 3 ` /~Y • Goa r ~ c ~ z,,~ ~ MEASUREMENTS: J ~ 1 ~ ~~ ~t ~: S![.tJ ~f.~r S~ ~~~ ~dZt ~- PERMIT#: ~- BLACKDIRT: YES TO CONCRETE: YES DETAILS: - GRAVEL: REMARKS: ~~~~li~~aa ~d~ WORKERS:S~ ~ 1~ J(~~ ~ ~ Crr~ Lv