HomeMy WebLinkAboutPlumbing FL-389-0510-P City of Oshkosh
Inspection Services
215 Church Ave., PO Box 1130
Oshkosh, WI 54902 -1130
(920) 236 -5052 (920) 236 -5184 FAX
OJHKOfH
ON THE WATER
May 20, 2010
Paul Coonen Plumbing
1147 Paramount Dr.
Chilton, WI. 54014
Adventure Child Care - Interior Grease Trap
Ref: Plumbing Plan Approval: 2175 W 9 Ave., Oshkosh, WI
Plan ID# File- 389 - 0510 -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. The plumber responsible for the installation shall keep at the construction site at
least one set of plans bearing the department's or agent municipality's stamp of
approval and least one set of specifications. The plans and specifications shall be
open to inspection by an authorized representative of the department. Comm.
82.20(6)
2. Every trap and trapped plumbing fixture shall be provided with an individual vent,
except where otherwise permitted in this chapter. Comm. 82.31(3)
3. A maximum of 12 inches of horizontal inlet pipe may be submerged. Comm.
82.34(5)(d)7.
4. The fixture drain from all interceptors designed in accordance with s. Comm.
82.34(4)(a)2. shall be provided with an accessible cleanout located outside of the
basin or interceptor and not more than 15" from the weir of the trap. Comm.
82.35(3)(m).
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.
Res tfully,
Paul Wolf,
Plumbing Inspector
Oshkosh Plan Approval Form
OSHKOSH
ON THE WATER
Job Address 2175 W 9TH AVE Approval Number 3016
Approval Type Plumbing Plan FL- 389 - 0510 -P
Submitter's Name PAUL COONEN Net Days to
Address 1147 PARAMOUNT DR Complete Review
CHILTON WI 53014 - 0 1
Owner Name RICHARD CN NASLUND REV L T
Address 301 N SAWYER ST
OSHKOSH WI 54902 - 4252
Type of Plan Interior Grease Interceptor
Fee $85.00 Date Received 05/20/2010 Date Approved 5/20/2010
CITY HALL City of Oshkosh
Inspection Services Div
2 urch Avenue
Box 1130 GENERAL PLUMBING
'-hkosh WI
903 -1130
O.1HKO1
ON THE WATFR
1. Complete for confirmed appointments *:
Transaction ID: c "... ' e., - 3 ,c1 ' 0 5Iie) ' p
Previous Related Trans. ID:
Assigned Reviewer: APPLICATION FOR PLUMBING REVIEW
Assigned Office: - Complete all pages -
NOTE: Personal information you provide may be used for
Review Start Date*: secondary purposes [Privacy Law s. 15.04(1)(m), Stats.]
*Plans must be received in the office of the appointment no later than
2 working days before the confirmed appointment.
Ca
,/ / 2. Project Information — Fill in all known information
Project/Site Name /16 6. it,.,-,_ (4 / ' r ( *,
Number & Street .1 / 7 ) td 9. 1"4 /1 /-k,
County (�i n,kc 1y
,(City ( ) Village ( ) Town of 3S/(.F 44,
(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)* Xequesting party will pick up.
*Refers to customer listed below
( - 7' ). ' )omplete the following customer information in the boxes below.
Designer Information (Customer 1) (Person who stamped the plan) Contact Person or Other, Please Specify (Customer 3)
/- ,, G'0ery ey
First Name Last Name Commerce Customer Number First Name Last Name Commerce Customer Number
MvL i . Coo /v r ti / am .e/%' (-
Company Name Company Name
/I t/ 7 f' /fie e9/117 ,Di
ddress Address
Cf/fl r 0 A/ 1,( 53v!
City State Zip + 4 (9 digits) City State Zip +4(9 digits)
o 2- ' Y 2.-004, ( Ar ea Code Phone Numb Fax Number (Area Code) Phone Number Fax Number
IlVt 0 C oo, /0, P4 U4,6/,1 6 . c&14
email address email address
Have you submitted plumbing plans to Safety & Buildings in the last year? ( ) Yes (j to
Owner Information (Customer 2) Make checks payable to City of Oshkosh, Attach check here.
First Name A Last Name Commerce Customer Number
A/ e/ - ,1M - ( - :I'J .1--Q (.6 ttr
Company Name
-Z /), - C�' ) [ it iv.''
Address
OsCA -diA c1s 1- X7'4
City State Zip + 4 (9 digits) Total amount due (From Page 3) $ ?S• tro
910 • 3 /2-- D77 Minimum Fee $85.00
(Area Code) Phone Number Fax Number
Revenue Code 7657
email address
THIS FORM IS VALID THROUGH January 2010 SBD - 6154 (R. 12/01/2008)
1
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 ( ) Sovent/Provent
Must be submitted to the Shawano office. ( ) Structure is greater or equal to 5 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 Building/Tenant Designation for Each Building and/or Tenant Space (Attach Additional Pages if Necessary)
Building /Facility Name /Designation Previous Tenant Name Building /Facility Address
Fee Computations (doubled for installation without
Item Description — Indicate items included with this submittal approval) (Check appropriate box and enter fee) Calculate the Required
for this building fees separately for each building. Fee
Indicate here the total number of interior fixtures, including roof
drains and hose bibs being submitted for this building. TOTAL #
6. BUILDING SPECIFIC SANITARY:
Select ONE of the following six options and enter the corresponding diameter or Drainage Fixture Units (DFU) and enter fee
1. ( ) Interior Sanitary Drain & Vent System and Exterior Sanitary Building
Sewer Diameter of sanitary building sewer(s) in inches. x $50.00
2. ( ) Interior Sanitary Drain and Vent system only. Diameter of sanitary building sewer, in inches, required to serve
the building. x $50
3. ( ) Exterior Sanitary Building Sewer(s) only. Diameter of sanitary building sewer(s) in inches. _ x $30.00
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. ( ) Multiple 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 to convert DFU to a fee
7. BUILDING SPECIFIC WATER:
Select ONE of the following six options and enter the corresponding diameter or Gallons Per Minute (GPM) and enter fee
Diameter of exterior water service in inches, or if serving a
1. ( ) Interior Water Distribution system and exterior Water Service combination domestic and fire sprinkler system, diameter of
interior water distribution immediately after the meter or at the
building control valve in inches... x $50
2. ( ) Interior Water Distribution system, no exterior water service Diameter of interior water distribution immediately after the meter
or at the building control valve in inches. x $50
3. ( ) Exterior Water Service(s), no interior Water Distribution system Diameter of exterior water service in inches.. x $30
4. ( ) Interior 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. ( ) Multiple 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 with multiple services exiting the GPM
building, no exterior Water Services See fee Table 2 on page 4 to convert GPM to a fee
8. indicate the number of items below included with this submittal.
—
( ) Grease Interceptor Number of Grease Interceptors... x $85.00, no additional fee
if submitted with Sanitary Drain & Vent
( ) Garage Catch Basin Number of Garage Catch Basins... x $85.00, no additional
fee if submitted with Sanitary Drain & Vent _
( ) Oil Interceptor Number of Oil Interceptors... x $85.00, no additional fee if
submitted with Sanitary Drain & Vent
( ) Car Wash Interceptor Number of Car Wash Interceptors... x $85.00, no additional
fee if submitted with Sanitary Drain & Vent
( ) Sanitary Dump Station Number of Sanitary Dump Stations... x $85.00, no additional
fee if submitted with Sanitary Drain & Vent
( ) Chemical System (Not Eyewash or emergency showers) Number of Chemical Systems... x $85.00, no additional fee
is submitted with Sanitary Drain & Vent
( ) Cross Connection Control Assemblies in Health Care Related
Facilities to be reviewed (List on Page 5) Number of Cross Connection Control Assemblies... x$200
( ) Request to Register Cross Connection Control Assemblies in Non- Number of Cross Connection Control Assemblies... x$200
Health Care (List on Page 5)
( ) Water Reuse System - stormwater for interior use $160.00 minimum for each reuse system. (NOTE: Additional fees will
( ) Water Reuse System - ( ) Water Reuse System - subsurface be charged at $60 /hr if review time exceeds 2 hours.) All Reuse plans
graywater irrigation must be submitted separately to the Green Bay office.
Page Fee Subtotal
Number of identical buildings X above Fee Subtotal. Fee Subtotal (carry to bottom of Page 3)
2
9. SITE SPECIFIC INFORMATION:
Fee Computations (doubled for installation without Required
Check and complete diameter information if included in this submittal approval) Fee
(Check appropriate box and make fee computation)
STORM - All Storm piping is considered site specific. If the plan includes subsurface infiltration, submit only to Green Bay, Shawano, or
Hayward.
Indicate total number of exterior fixtures such Drainage area served by the storm plumbing system is:
as storm drain inlets submitted with this application (Check one and enter corresponding information)
Check all that apply A. ( ) Less than or equal to 1 acre drainage to the
plumbing system with a single discharge point
( ) Interior storm drain system with a clearwater drain system diameter at discharge point in inches X
(If submitting interior storm only, use the roof area to determine the $15 /inch
drainage area for fees.)
B. ( ) Less than or equal to 1 acre drainage to the
( ) Interior storm drain system without a clearwater drain system plumbing system with multiple discharge points
(If submitting interior storm only, use the roof area to determine the Total GPM discharge. See Table 3 on next page.
drainage area for fees.) to convert GPM to a fee
( ) Storm Building Sewer
C. ( ) Greater than 1 acre drainage to the plumbing
system. Acres
( ) Storm Private Interceptor Main Sewer SeeTable 4 on next page to convert acres to a fee.
NOTE: Maintenance plan submittal required
() Storm water and /or clear water Subsurface Infiltration for Public • If this submittal is infiltration WITH storm, indicate
Building submitted with or without a storm piping system $200.00 in the fee column.
Storm System Infiltration volume (gal)
Select Green Bay, Hayward, or Shawano offices for plans with infiltration If submitting infiltration WITHOUT storm, calculate the
and other plumbing systems. corresponding fee in A, B, or C above as if you were
submitting those elements and enter here
Add $200.00 and enter the total fee in the fee column.
( ) Clearwater drain system without an interior stone drain system $15.00 /inch diameter of each clearwater drain system
Inches X $15 /inch
SANITARY
( ) Submittal of Sanitary Private Interceptor Main Sewer
Indicate the number of independent Sum of largest PIMS diameters in inches.. _ x $30 /inch
connections to the municipal sewer or POWTS (Compute for each independent system and total.)
WATER
() Private Water Main
Indicate the number of independent Sum of water main diameters in inches.. x $30 /inch
connections to the municipal water main or well pressure tank (Compute for each independent system and total.)
10. If the submittal is for a Manufactured Home Community and /or Campground/
Recreational Vehicle Park, indicate the number of sites and enter fee:
Mobile /Manufactured Home Park and/or Required Mobile /Manufactured Home Park and /or Required
Campground /Recreational Vehicle Park Fee Campground/Recreational Vehicle Park Fee
( ) 1 -25 Sites $300.00 ( ) 51 -125 Sites
$400.00
( ) 26 -50 Sites — —
_ $350.00 _ ( ) Greater than 125 $500.00
Mobile Home Park and /or Campground /Recreational Vehicle
Park submittal includes:
( ) Sanitary Dump Station ( ) Exterior Water Service
( ) Exterior Sanitary Sewer ( ) Private Water Main
( ) Sanitary Private Interceptor Main Sewer
11. OTHER FEES
( ) Plan Approval Extension (1 year maximum) $120.00
( ) Revision to previously approved plans — $85.00 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
$1,000.00
( ) Alternate Plumbing System (Submit to Madison Office) Number of Alternate Plumbing Systems... x
$800.00
Subtotal From Page 2 (include subtotals from additional Page 2s if used)
Enter Total Fee Here and at Bottom of First Page
3
Table 1
DRAINAGE FIXTURE UNIT (DFU) FEE TABLE Table 3 .
STORM GALLONS PER MINUTE (GPM) FEE TABLES
DFU Pipe Fee (diameter
Diameter X $50) GPM Diameter Fee (diameter X
1 11/4 $50 $15/inch)
2 -3 11/2 $65 1 -50 3 $45
4-6 2 $75 51 -115 4 $60
7 -20 3 $150 116 -195 5 $75
21 -160 4 $200 196 -320 6 $90
161 -360 5 $250 321 -700 8 $120
361 -620 6 $300 701 -1300 10 $150
621 -1400 8 $400 1301 -2200 12 $180
1401 -2500 10 $500 2201 -4050 15 $225
2501 -3900 12 $600 4051 -6700 18 $270
6701 -9880 21 $315
Table 2 9881 -14700 24 $360
WATER DISTRIBUTION FEE TABLE
Comm 82.36 Table 2.64 -2 Table 4
GPM Fee STORM AREA FEE TABLE
1 to 6 $25.00 Acres (area drained to a Fee
7 to 12 $35.00 plumbing system)
13 to 21 $50.00 Greater than 1 to 5 $350
22 to 31 $60.00 Greater than 5 to 15 $500
32 to 46 $75.00 Greater than 15 $600
47 to 77 $100.00
78 to 119 $125.00
120 to 170 $150.00 43,560 sq ft = 1 acre
171 to 298 $175.00
12. Agent Municipalities (See Comm Table 82.20 - 2 for agent plan submittals.) Cities of:
Appleton Greenfield Milwaukee Sheboygan
Eau Claire Janesville' Oshkosh West Bend *
Green Bay Madison
NOTE: Plans must be submitted to agent, unless waived by them.
`EXCEPTION: A project in Janesville or West Bend may be submitted to the state or to Janesville or West Bend
Some agents are delegated plan review of infiltration systems. See website at http: // commerce. wi. gov /SB /SB PlumbingAgentMunis.html for the current
list.
DO NOT SUBMIT THIS PAGE AS PART OF SCHEDULE REQUEST
4
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TYPICAL EXAMPLES OF BUILDING SPECIFIC /SITE SPECIFIC
INDICATED TASKS ARE FOR COMPLETING FORM PAGES AND WEB SCHEDULING
(1) (2)
Building Specific Plumbing Component Building and Site Specific
Interior Sanitary Bldg 1 Interior water Building Specific
Drain & Vent distribution
Bldg 1 Bldg 2
Exterior Exterior
Sanitary Water A– Exterior Sanitary Building
Sewer Service A , Sewer
Bldg B � B – Exterior Water Service
Municipal Sewer Main
Municipal H Main . . , B
All are building specific (Municipal mains not reviewed by Safety & Bldgs) ` ;
• �f
Web - 1 Building Specific Plumbing Component
Sanitary private Private
This Form - Page 2 to be done 1 time interceptor main sewer Water Main
Municipal Sewer Main
(3) Municipal H Main
Site Specific Storm Municipal mains not reviewed by Safety & Bldgs . -
Site Specific
Storm Inlets Storm Inlets Also Site Specific
All storm piping within, under or serving building
All Site Specific
All storm piping inside and Web - 2 Building Specific Plumbing Components
outside of buildings is site 1 Site Specific Plumbing Component
specific. This Form - Page 2 to be done 2 times Page 3 to be done 1 time
Municipal Storm Sewer
Golf Course, etc. with no building
Web - 0 Building Specific Plumbing Component
1 Site Specific Plumbing Component
ThIs Form - Page 3 to be done 1 time. Also, if cross (6)
connection assemblies, complete pages 2 & 5.
(4) (5)
Bldg 1 Bldg 2
Bldg 1 Bldg 2 Bldg 1
Request Interior Only
Bldg 3 Approval Bldg 3
Request Interior & Exterior Approval
Web - 2 Identical Building Specific Plumbing Components
Request Interior & Exterior Approval Web - 1 Building Specific Plumbing Component 1 Non - Identical Building Specific Plumbing Component
Web - 3 Identical Building Plumbing Components 0 Site Specific Plumbing Component 1 Site Specific Plumbing Component
1 Site Specific Plumbing Component This Form - Page 2 to be done 1 time This Form - Page 2 to be done 2 times Page 3 to be done 1 time
All Storm Is site specHic
This Form - Page 2 to be done 1 time Page 3 to be done 1 time
(
A B C D E F
1 1 1 (1) Exterior
1 1 1 1 1 1 Sanitary Building
I I I 1 1, 1 Sewer (Building
L I ' Specific)
4 — Private Interceptor Private Interceptor
Main Sewer (Site Main Sewer (Site
Specific) Specific)
Main
Web - 6 Identical Building Specific Plumbing Components
2 Site Specific Plumbing Components
This Form - Page 2 to be done 1 time Page 3 to be done 1 time
DO NOT SUBMIT THIS PAGE AS PART OF SCHEDULE REQUEST
6
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akika Use
Adventure Child Care Center
2175 West 9 Avenue
Oshkosh, WI 54904
920- 385 -0434
To whom it may concern:
Adventure Child are will be using the dishwasher approximately 2 cycles for each
meal. The washer holds two and sometimes three trays of dishes at one time.
One cycle will be washing all main dishes and silverware and another cycle will
wash the pots and pans.
Breakfast may be only one cycle. Only once in our three week rotation we are
cooking pancakes so there maybe two cycle's of washing.
Lunch and dinner will be two cycles, one for dishes and one for ots
p and pans.
The benefit to this washer is that we can wash 2 or 3 trays of dishes in one cycle.
Any further questions please contact Kristine at 920 - 312 -0992.
Thank you,
II
Adventure Child Care Center
Kristine Garza Administrator
5 D
MAY13 2010
DErr.: CHEW OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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NO. DE PIECE
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MAT' POLYPROPYLENE
° GREASE INTERCEPTOR ` 11111111111011111111 i v.-
15 G.P.M. 6 ��71
SEPARATEUR de ��,�
GRAISSE 15 G.P.M.
MADE IN CANADA FABRIQUE AU CANADA
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