HomeMy WebLinkAbout0142512-Plumbing (laterals) (al CITY OF OSHKOSH No 142512
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 653 N MAIN ST Owner STANNARD REAL ESTATE LLC Create Date 08/10/2010
Contractor J RASMUSSEN PLUMBING INC Category 444 - Commercial - Exterior Laterals 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 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 Stannard Dry Cleaners/ Install new storm lateral as part of Main St reconnstruction project.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer 6" Plastic Lateral 1 New
Water Service
Parcel Id #
0700790000
Valuation $500.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided
Issued By 08/10/2010 ...T)
In the performan 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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920 - 231 -1289
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.
08/04/2010 06:00 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh _
0 Box oion Services 17tvlRio)l -\ O¢thkosh, Wi 54903-1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 M
ON
Plumbing Permit Application rHF wnrFe
1 hereby apply for a permit to do and install the .following plumbing on the premises hereinaifer 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 stalMeg,
• Applicatinn(s) and fee(9) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh W1
54903 -1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus On normal permit fee, which
ever is greater.
OR
JJ.,zott are a contractor varticinatine .e. e r . ,r. ., cc.0 rue . and hara...astmairjimis. chP4k here
if VOM want thk r zc ts_cd_tb.L: ► -,Qj11'21 - .c_c_24ta Ii
** .Advisory - For applicable projects, an Ellectnicat Installation Verification (EIV) form, deigned by the Electrical
Contractor or Homeowner (foir installations allowed to be performed by the homeowner) must be s>Itbsultted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance an will be returned for completion.
Job Address b S 3 iU' 'ter" N pO c8 -3 - l a
Value (Including lahnr and materials Date
Owner S' '1"il - ro - ltrot- Contractor .i R. 0. ►K t~ J S .e & P ( 1 , ∎Trj <" ,
DSinglc Family []Duplex DMulfi- Family DReotal
ISZICammereial °.tnldastrial
Number of Fixtures: .
Bathtub S%ui Pump Plaster Sink RantMO+
Shower ..� _ - Sen. Sump/Pump , - Scullery Si , - _ Soda Dieu
Whirlpool �_.. Coffee iMkr
Whirlpool Water Softener Service Sink _•__
Lavatory , .^ Standpipe Rc _� Shamp Sink — Site Drain
Mild. .�_ _.._ GIMP m . __.
Surganns Slur Waits Sm
Kit Sink _ _ Local Wav Stedl».cr _
— fee Chest
lhxpoanl - -- Bar Sink —_ RPZ Volvo ^_
Comm ice Maker ---
Dishwasher Break= Sink Bidet
Int atom Trap _ - _ —
Flom Drain _„_ Clas:nn Sink .,.r,r..., iJrinal Bat Oise Trap
Hose RAW Exam Sink Beer Tap w rye Wash Sm _
Water Heater F Prep Sink ___, Dipper Well Deduct Mcncr
L. fins 0 Elect i.1 PwrVnt Floor Sink -- Drhnk Prink _ Wtr Sewer Mir
Clot o Wahr Hand Sink �� Wash Finn lilrtt Lime MO _
—__ Catch Amin Mige Datum
Electric Contractor (for projects not requiring an UV Forms)
Use / Natsl re of Work 5 TO .r w., SA.t.t -t-ir cpt- 2- o.p f- Aft c.. ;..r.
r Size W _�. Material Type
Conn. Type
Sanitary Sewer
Storm Sewer 4 w r V L 6 & le u
Witter Service
05/09
•
Received Time Aug. 4. 2010 6:39AM No. 2262