HomeMy WebLinkAbout2010-Plumbing (laterals) („0 CITY OF OSHKOSH No 143733
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 445 N MAIN ST Owner STAPEL PROPERTIES LLC Create Date 10/20/2010
Contractor J RASMUSSEN PLUMBING INC Category 430 - Industrial - 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 Install storm lateral with tracer wire for roof drains and remove roof drains from sanitary per orders.
of Work
1
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer 6" Plastic Lateral 1 New
Water Service
Parcel Id #
0700190000
Valuation $4,00 .00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided
Issued By Date 10/20/2010
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 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.
10/20/2010 05:08 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
insp Lion Services Division POBox 1130
Oshkosh, WI 54903 -1130
P
( )
hone: (920) 236 -5050
Fax: (920) 236-5084
ON TIMF wATFR
Plumbing Permit Application
!hereby apply for a permit to do and install the following plumbing on the premie+es hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all partiechereto agree to and arc 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 fors being doubled or 8100.00 phzs the normal permit fee, which
ever is greater.
OR
if_ • , r , ,, , 1 ,ar • f. f : :e 1 _. ,:_t e„ ,d , -. cheek here
ifyou want this processed throyg„b pJr- ESSOLU.L -g
" .Advisory - For applicable projects, an Elcetrical Installation Verification (ENV) foram, signed by the Electrical
Contractor or Homeowner (for instailatkms allowed to be peiforrn d by the homeowner) mast be admitted
with the permit application. Appllicaii on s submitted without an EIV When such is retluited, will not be
processed for Permit Zssaance and will be returned for completion.
Job Address S � ` in "' Value (including loner snd rs) II p° ° ' 9 Date f O-2" 0- /o
Owner Stn- P 14 Contractor .' R. tkS h4.1, 1 S.t N P l ei, 1 c _
❑Bangle Family ['Dopler []Multi - Family DRental EICommercial DTndustrlal
Number of Fixtures:
Bethnal _ Sump Pump ... Planter Sink _
..�.. ,_ Roof
SAN Sump/Pump _ _
Scullery sick niv
Whirlpool _.. Water Softener Service Sink Coffee Mkr
..watery -- Standpipe Roe Slump Sink Site Drain
Toilet ______ Garage F4 Surgeons Sink ,_ — Wain Stn
Kit Sink Local Waste —
... r..._ 8tcrili act Chest
Thspo�ral .... Bar Sink RPT. Valve Comm lee Maker
Dishwasher Break m Side Bidet
— Im Greene Trap
Moor Drain Clamant ;link Urinal ���
- -- t xt(>teaec Trap
Haw Bibb Exam Sink gecr Tap Eye W Sur
Water Heater F Prep Sink .._ .— .. Dipper Well Deduet Metter
I;! erns f.1 Fkat fl PwrVnt Floor Sink Drink ,
WIT :Sewer Mir
Clothes Wien Rand Sink Waah Finn Wir Usage Mir
dtY Tray Loh Sink —
I�
Catch Basin __ Misc Plata/es
Electric Contractor (for projects not requiring an ETV Forma)
Use /Natnreof Work S41,I 1.24,3 Ai- PrtAr* Lora -c PA 0.i w -- s .,,,, 2 S.isr,t, s prt•w - F4
Size Material 'Type # Conn. Type
Sanitary Sewer 1 2
Slorr i Sewer b V C 5 .1. t ., GA -W. 6 As i •f
water Service
Received Time Oct. 20. 2010 5:49AM No.3347
Rasmussen Plumbing Inc. M aster pijilemffbiklise mussen
r #223251
1914 Greenbriar Trail
Oshkosh WI 54904-8887
Phone: (920) 233-6747
Fax: (920) 231-1289 CP'tk)s-r /6
E-mail: rasmuss@charter,net
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