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Home My WebLink About0144073-Plumbing (lift station) e CITY OF OSHKOSH No 144073 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 11 BROAD ST Owner CITY OF OSHKOSH Create Date 11/15/2010 Contractor J.F. AHERN CO 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 1 Coffee Maker Wtr Usage Mtrs 1 Lavatory San Sump /Pump FIr/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 1 Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use /Nature Broad Street Lift Station/ Install new water service for wash press, new meter and RPZ valve. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 4" Iron Lateral 1 New Parcel Id # 0800230000 Valuation $4,7 .00 Plan Approval $0.00 Permit Fees $0.00 ❑ Permit Voided Issued By P Date 11/15/2010 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. City of Oshkosh RECEIVED Inspection Services Division ` P h Box 1130 Oshkosh, WI 54903 -1130 NOV 1 2 200 Phone: (920) 236 -5050 DEPARTMENT OF / T t Fax (920) 236 - 5084 COMMUNITY DEVELOPMENT OTAILL. _ PlumbinaWiiiiit 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 permits) will result in fees being doubled or 8100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating LD_Lhe Permi ee Account System and have adequate funds. check here if you want this processed through your account -- 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. Job Address 11 Broad St., Oshkosh Value (Including laborandmateriab) $4,700 Date 11 /10/10 Owner • City of Oshkosh Contractor J. F. Ahern Co. . . ['Single Family ❑Duplex ❑Multi - Family ['Rental ['Commercial . ®bndustrial Number of Fixtures: Bathtub ' Sump Pump Plaster Sink Roof Dram Shower San. Sump Pump Soldiery Sink Soda Dap Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Ree Skimp Sink Site Drain Toilet Clamp FD Surgeons Sink Wants Sin Kit Sink Local Waste Sterilizer Ice Chest ' . Disposal Bar Sink RPZ Valve X Comm Ice Maker • Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain X Clown Sink Urinal Fat Grease Trap Hose Bibb Dram Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter 0 (ins ❑ Elect O PwrVnt Floor Sink Drink Fate Wir Sewer Mir Clothes Wshr Hand Sink Wash Fain Wtr Usage Mir X wy Tray Lab Sink Catch Basin Mac Fixtures ' Electric Contractor (for projects not requiring an.EIV Form) consolidated treatment plant & pumping station improvement projects, contract 10 -15 with Use /Nature of Work - • • a • 1 - _ _ _ • _ - • _ • • _ • _ - - - : backflov/ • Size Material Type #, T preventer. Sanitary Sewer Storm Sewer Water Service 4" ductile cement -lined 1 mechanical joint 06/09