HomeMy WebLinkAbout0137482-Plumbing (alterations to new office area)0
OSHKOSH
ON THE WATER
Job Address 2737 HARRISON ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor JIM'S PLUMBING & HEATING INC
Roof Drain
Bathtub
Clothes Wshr
Classrm Sink
Shower
Lndry Tray
Exam Sink
Whirlpool
Sump Pump
F Prep Sink
Lavatory
1 San Sump /Pump
Flr/Wst Sink
Toilet
4 Water Softner
Hand Sink
Kit Sink
Standp Rec
Lab Sink
Disposal
Gar Drain
Plaster Sink
Dishwasher
Local Waste
Sculry Sink
Floor Drain
3 Bar Sink
Sery Sink
Hose Bibb
Breakrm Sink
Shamp Sink
Water Heater
1
Use /Nature Interior plumbing alterations for new office area
of Work prior to rough inspection. * * **
Size
Sanitary Sewer
Storm Sewer
Water Service
Owner OSHKOSH CORPORATION
No 137482
Create Date 08/06/2009
Category 410 - Res - Interior (New /Relocated Fixtures) Plan
Surgeons Sink
Roof Drain
Deduct Meters
Sterilizer
Soda Disp
Wtr Sewer Mtrs
RPZ Valve
Coffee Maker
Wtr Usage Mtrs
Bidet
Site Drain
Misc.
Urinal
2 Wait. St.
Fixtures
Beer Tap
Ice Chest
Dip Well
Comm Ice Maker
Drink Ftn
Int Grease Trap
Wash Ftn
1 Ext Grease Trap
Catch Basin
Eye Wash Statn
under mezzanine. * * * *A water calculation worksheet is required to be submitted
Material Type
Valuation $18,000.00 Plan Approval $0.00 Permit Fees
Issued By
# Conn. Type
$84.00 ❑ Permit Voided
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 parry, 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
Parcel Id #
1519600000
Date 08/06/2009
Agent/Owner
Address W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920 - 757 -5258
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.
08/06/2009 05:42 FAX 920 757 6482 JIM'S PLUMBING Q001 /001
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, W154903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -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) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
** Advisory - For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. d Q
Job Address 2711 /11jj9111 1 J'0 J f . Value (Including labor and materials) Date 8/1./109
Owner OaLd 6' /2 Contractor —7—/nt' / z„c.
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Commercial industrial
Number of Fixtures:
Bathtub
Sump Pump
Plaster Sink
Roof Drain
Shower
San, Sump(Pump
Scullery Sink
Soda Disp
Whirlpool
Water Softener
Service Sink
Coffce Mkr
Lavatory
Standpipe Rec
Shamp Sink
Site Drain
Toilet
_
Garage FD
Surgeons Sink
Waitra Stn
Kit Sink
Local waste
Sterilizer
Ice Chest
Disposal
Bar Sink
RPZ Valve
Comm Ice Maker
Dishwasher
Breakrm Sink
Sidet
Int Grease Trap
Floor Drain
3_
Classrm Sink
Urinal 2—
Ext Grease Trap
Hose Bibb
Exnm Sink
Beer Tap
Eye Wash Stn
Water Heater
F Prcp Sink
Dipper Well
Deduct Meter
rl G$s 0Mloct O PwrVnt
Floor Sink
Drink Fhtn
Wtr Sewer Mtr
Clothes Wshr
Hand Sink
Wash Fntn
Wir Usage Mir
Lndry Tray
Lab Sink
Catch Basin
Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form)
"Use / Nature of Work
Size Material Type # Conn. Type.
Sanitary Sewer
Storm Sewer
Water Service
06/09