HomeMy WebLinkAbout0142487-Plumbing (receptor) CITY OF OSHKOSH No 142487
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1819 EVANS ST Owner ANNIE REALTY LLC Create Date 08/09/2010
Contractor JT SCHMIDT PLUMBING INC Category 443 - Commercial- Interior (Replacement Fixtun Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec 1 Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature Govani Dental/ Install a trapped and vented receptor for dental equipment in basement per Comm. 82.31 and 82.33.
of Work Equipment from prior business in 2005 discharged to a local waste to FD which did not comply with Comm. 82.33 at
that time, creating a health concern from bodily fluids.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1519410200
Valuation $450.00 Plan Approval $0.00 Permit Fees
$25.00 ❑Permit Voided
Issued By Date 08/09/2010
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
Agent/Owner
Address 419 S WASHINGTON ST COMBINED LOCKS WI 54113 - 1049 Telephone Number (920) 788 -7314
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.
PLUMBING PERMIT APPLICATION Page 1 of 2
Stephenson, Ann M.
From: PLUMBING PERMIT APPLICATION [ Permit _App_Plumbing @ci.oshkosh.wi.us]
Sent: Monday, August 09, 2010 8:38 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:8 /9/2010 8:38:14 AM
Permit Fee Account
System:
Job Address: 1819 Evans Street
Owner: Dr. Govani
Contractor: JT Schmidt Plumbing
Use Category: Commercial
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool: Water Service Coffee
Softener: Sink: Mkr:
Lavato Standpipe Shamp Site 1
' Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice
Chest:
Comm
Disposal: Bar Sink: Valve• Ice
• Maker:
Breakrm Int
Dishwasher: Sink• Bidet: Grease
• Trap:
Floor Classrm Ext
Urinal: Grease
Drain: Sink: Trap:
Hose Bibb: Exam Sink: Eye
Beer Wash
8/9/2010
PLUMBING PERMIT APPLICATION Page 2 of 2
Tap: Stn:
Water F Prep Sink• Dipper Deduct
Heater: Well: Meter:
Drink Wtr
Floor Sink: Fntn• Sewer
Mtr:
Clothes Wash Wtr
Wshr: Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fixtures:
*USE / NATURE OF WORK Plumbing a site drain for Dental Vacuum System
*VALUE (Including labor and all $450.00
materials including light fixtures)
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
8/9/2010