HomeMy WebLinkAboutPlumbing FILE-330-1008-P (10/6/08)O.IHKOfH
ON 7HE WATER
City of Oshkosh
Inspection Services
215 Church Ave., PO Box 1130
Oshkosh, WI 54902-1130
(920) 236-5052 (920) 236-5184 FAX
October 6, 2008
D. R. Hansen Plumbing
55 Knapp Street
Oshkosh, WI 54902
Ref: Plumbing Plan Approval:
Dear Sirs,
Pepsi Co. Garage Catch Basin)
32.5 W. 20t Ave., Oshkosh, WI
Plan ID# FILE-330-1008-P
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. Pump and pit for garage catch basin shall comply with requirements for sanitary
ejector per COMM 82.30(10)
2. Catch Basin shall comply with dimension requirements of COMM 82.34(4)
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,
~~~~~~~
Richard Wood,
Plumbing Inspector
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QSHKOSH WT~ 54902-3448 \'
(920 233-1595
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_ REVIEWED
PLUMING PLANS
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commerce.wl.gov APPLICATION FOR PLUMBING REVIEW
AND CROSS CONNECTION ASSEMBLY
isconsin REGISTRATION GENERAL PLUMBING
Department of Commerce -Complete all pages-
Safety & Buildings Division NOTE: Personal information you provide may be used for secondary
Bureau of Integrated Services purposes [Privacy Laws. 15.04(1)(m), Stats.]
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 ofFlce 2. Green Bay 3. Hayward 4. LaCrosse 5. Madison 6. Shawano 7. Waukesha
F Mnil Crharl~~linn DI~nC..he.l„la/.T
- ___-.. __.____.... .~..~~..~~~.~ ..a......a...a.asa.a.~~.Va .VII Iltltl ItlA IlulllYtlr 8r r 89V-a7 rL
1. Complete for confirmed appointments':
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Transaction ID: /-/ ~C J ~Q - ~QQtQ'
Previous Related Trans. ID: For next available appointment, plan status
checks, see our website at
Assigned Reviewer: http://www.commerce.state.wi.us/SB/SB-
DivReviewStatusSearch. h mtl.
Assigned Office:
Review Start Date':
'Plans must be received in the office of the appointment no later than 2 working davs before the confirmed aooointment
2. Project Information -Fill in all known information
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ProjecVSite Name ~ ( ~ /
Number & Street ~ 2 S C1.J Z ~ rt t,.j
County ~ ~ • w t,~/-
(C~ity ()Village ()Town of ~ ~,(.~ ~ 'p ~ {./
3. Mailing Information After plans are reviewed, please: (check all that apply)
Call Customer 1, 2, 3 (circle number)' -Mail plans to customer 1, 2, 3, (circle 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 who stamped the plan) Other, Please Specify (Customer 3)
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First Na P Last Name Commerce Customer Number First Name Last Name Commerce Customer Number
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Company Name Company Name
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Address
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" Address
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CrtY State Zip + 4 (9 digits) ~- Clty State Zip + 4 (9 digits)
(Area Code) Phone Number Fax Number (Area Code) Phone Number Fax Number
email address
email address
Have you submitted plans in the last year? ()Yes () No
Owner Information (Customer 2) Make checks
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ommerce, Attach check here.
First Name Last Name Commerce Customer Number
Company Name
Address
CItY State Zip+4(9digits) Total amount due $ ~ ° v
(From Page 3)
(Area Code) Phone Number Fax Number Revenue Code 7657
email address
SBD-6154 (R. 06/2005)
THIS FORM IS VALID THROUGH MARCH 2006
SUBMIT ADDITIONAL PAGE 2 FOR EACH NON-IDENTICAL BUILDING OR TENANT SPACE
5• BUILDING SPECIFIC INFORMATION
() 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 Apartment/Condo only ()Healthcare Related Facility
( )Multiple identical buildings Number of identical buildings being submitted (NOTE: Must be on same site)
Indicate Buildin /Tenant Desi nation for Each Buildin and/or Tenant S ace Attach Additional Pa es if Necessa
Building/Facility Name/Designation Previous Tenant Name Building/Facility Address
6. Item Description -Indicate items included with this Fee Computations (doubled for installation without Required
submittal'for this building` approval) (Check appropriate box and enter fee) Fee
Indicate the total number of interior fixtures,
including roof drains and hose bibs being submitted for this building.
( )Grease Interceptor Number of Grease Interceptors... _x $70.00, no additional fee
if submitted with Sanita Drain & Vent
(~) Garage Catch Basin Number of Garage Catch Basins..._x $70.00, no additional
fee if submitted with Sanita Drain 8 Vent
( )Oil Interceptor Number of Oil Interceptors..._x $70.00, no additional fee if O J
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submitted with Sanita Drain & Vent U
( )Car Wash Interceptor Number of Car Wash Interceptors..._x $70.00, no additional
fee if submitted with Sanita Drain & Vent
( )Sanitary Dump Station Number of Sanitary Dump Stations..._x $70.00, no additional
fee if submitted with Sanita Drain & Vent
( )Chemical System (Not Eyewashes) Number of Chemical Systems..._x $70.00, no additional fee
is submitted with Sanita Drain & Vent
( )Cross Connection Control Assemblies in Health Care Related
Facilities to be reviewed Number of Cross Connection Control Assemblies... x$125
( )Request to Register Cross Connection Control Assemblies in Non-
Health Care Number of Cross Connection Control Assemblies... x$125
( )Water Reuse System - ( )Water Reuse System - stormwater for
ex erimental blackwater interior use $120.00 minimum. (NOTE: Additional fees will be Charged at
( )water Reuse System - ( )Water Reuse system -subsurface $60/hr if review time exceeds 2 hours.)
ra ater irri ation
7. BUILDING SPECIFIC'SANITARY:
Select ONE of the. followin six o tlonsand enter the comet; ondin diameter or Drains a Fixture Units DFU and. enter fee
lnterior Sanitary Drain 8 Vent System and Exterior Sanitary Building
e
Sew
r Diameter of sanitary building sewer(s) in inches.- x $40.00
2. ()Interior Sanitary Drain and Vent system only. Diameter of sanitary building sewer, in inches, required to serve
the buildin . x $40
3. ()Exterior Sanitary Building 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
remodeled building. DFU's new, added or relocated
See fee table 1 on page 4 to convert DFU to a fee
5. ()Multiple exterior Sanitary Building Sewers serving the single '
building, and the interior Sanitary Drain and Vent system DFU
s new, added or relocated
See fee table 1 on page 4 to convert DFU to a fee
6. ()Interior Sanitary Drain and Vent System with multiple building drains
exiting the building, no exterior sanitary building sewers DFU's new, added or relocated
See fee table 1 on page 4 to convert DFU to a fee
8. BUILDING SPECIFIC WATER:
Select ONE ofthe-followin seven o lions and enter the comes 'ondin diameter or Gallons Per Minute GPM :and enter fee
1. ()Interior Water Distribution system and exterior Water Service Diameter of exterior water service in inches.. x $40
2. ()Interior Water Distribution system and the exterior Water Service Diameter of interior water distribution immediately after the meter
servin a combination domestic and fires rinkler s stem or at the buildin control valve in inches. x $40
3. ()Interior Water Distribution system, no exterior Water Service Diameter of exterior water service, in inches, required to serve
the buildin x $40
4. ()Exterior Water Service(s), no interior Water Distribution system Diameter of exterior water service in inches.. x $25
5. ()Interior Water Distribution system within an addition or remodeled
building, no exterior Water Service GPM added or relocated
See fee table 2 on page 4 to convert GPM to a fee
6. ()Multiple exterior Water Services serving the single building, and the
interior Water Distribution system GPM
See fee table 2 on page 4 to convert GPM to a fee
7. ()Interior Water Distribution system with multiple services exiting the
building, no exterior Water Services GPM
See fee table 2 on page 4 to convert GPM to a fee
Fee Subtotal 0 06
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