HomeMy WebLinkAbout2010-Plumbing CITY OF OSHKOSH No 143277
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 09/23/2010
Contractor O'NEILL ENTERPRISES INC Category 442 - Commercial- Interior (New /Relocated Fixti 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 2 San Sump /Pump Fir/Wst Sink Bidet Site Drain Misc.
Toilet 2 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 2 Bar Sink Sery Sink 1 Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use /Nature linterior plumbing remodel at space A130 for "Levi's" store.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1329420000
Valuation $10,400.010 Plan Approval $0.00 Permit Fees $56.00 ❑ Permit Voided
Issued By & Date 09/23/2010
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 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 920 - 230 -2007
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.
09/23/2010 07:49 FAX 19202302008 ONEILL ENTERPRISES IJ001 /002
f Oshkosh - Inspection Services Division - Plumbing Permit App... http:// www. ci. oshkosh. wi. us/ Community _ Development /Inspection_Se...
Division of Inspection Services
i , • , ' 215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
J e' { Fax (920) 236-5084
Phone (920) 236 -5050
' ,,,.,_ -' 4 5 /� 1 , .. d l C )�. ? / 7
PLUMBING PERMIT APPLICATION
All information with * next to It must be provided. Incomplete applications will not be processed.
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.
• _ [' • , - 1 • • : I . : 1. - , 4- • - 11 - _ • 1 - it - 1 . I- - • • - l
time YES jf you want this processed through your account ;YES
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) 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.
*306 ADDRESS 3001 S St Suite 130
*OWNER IThe Levi's Store �� _v Y ^ - _ j
*CONTRACTOR'O'Neill Enteprises, Inc. __ __ __ i
*VALUE 0400 - - -- 1
*USE CATEGORY •
8 Single Family 0 Duplex 0 Multi - Family 0 Rental ® Commercial 0 Industrial
Bathtub 1 ----- 1 Sump Pump Plaster Sink 1 I Roof Dram n — 1
Shower L San. [1+11 Sculle Sink ---1 Soda Disp ! � __I
Sump /Pump L,_ . __J _-1
Whirlpool 1 Water Softener I 1 Service Sink i t _ I Coffee Mkr f
Lavatory [2 J Standpipe Rec ! I Shamp Sink I Site Drain 11 1
Toilet i i Surgeons - - ;
i 2 Garage FD Sink ....___ I Waitrs Stn ;
Received Time Sep. 23. 2010 8:27AM No. 2932
••F- 0/ 7/Mnln R•')4 AM
09/23/2010 07:50 FAX 19202302008 ONE ILL ENTERPRISES Q002/002
..ny ui usnkosn - inspect services Division - Manning Permit App... tittp://www.ci.oshkosh.wi.us/Community Developnmnt/Inspection Se...
Kit Sink r---1 Local Waste 1 -- 1 Sterilizer 7 i Ice Chest r
. ,
1 ------ 1 .;.k..... oM I
. 1 Cmce .1
Disposal 1 Bar Sink i 1 -rsrz. valve 1 - - .1 . 1
Dishwasher I-- Breakrm Sink . eittet 1 I Int Grease Trap
Floor Drain L2 Classrm Sink I _ j Urinal [j Ext Grease Trap L___I
-- 1
Hose Bibb r i Exam Sink I Beer Tap 1 1"- I Eye Wash Stn I 1
Water Heater 1 I F Prep Sink l_i Dipper Well 1 1 Deduct Meter i
(51 ,j r3 o
. wr Floor Sink
i j Drink Fntn [7 1 Wtr Sewer Mtr I i
Gas Electric Vnt
Clothes Wshr 1---1 Hand Sink Wash
Fntn „------- i
I [_J Wtr Usage Mtr I
Lndry Tray j Lab Sink Catch Basin [J Misc Fixtures
*USE./ NATURE OF WORK
;remodel of interior plumbing.
1
I
I
I
ELECTRIC CONTRACTOR (for projects not requiring an EIV Form)
1 1
Size Material Type # Conn. Type
Sanitary 1
L___ r—
--] L 1 1 1 J 1 t
i
Sewer J L _I t
Storm
i r 1 1
sewer r_ ir__________.21 1 ........, ,.... I 1 _
Water I i
J I ----, r--
Service _I __.t L i
Received Time Sep. 23. 2010 8:27AM No.2932
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