HomeMy WebLinkAbout0144072-Plumibng (lift station) CITY OF OSHKOSH No 144072
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1670 S MAIN ST Owner CITY OF OSHKOSH Create Date 11/15/2010
Contractor J.F. AHERN CO 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 0
Whirlpool Sump Pump F Prep Sink RPZ Valve 1 Coffee Maker Wtr Usage Mtrs 1
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 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 South Main 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 2" Copper Lateral 1 New
Parcel Id #
0306050000
Valuation 4,000.00 Plan Approval $0.00 Permit Fees $0.00 ❑ Permit Voided
Issued By 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 PO BOX 1316 FOND DU LAC WI 54936 - 1316 Telephone Number 920 - 921 -9020
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 REc. EI E D
Inspection Services Division
POBox 1130 NOV 12 2010
Oshkosh, WI 54903 -1130 DEPARTMENT OF
Phone: (920) 236 -5050 COMMUNITY DEVELOPMENT
Fax: (920) 236 -5084 ■ l TT ■
INSPECTION SERVICES DIVISION �it�1�1
Plumbing Permit Application
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.
• Applieation(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 8100.00 plus the normal permit fee, which
ever is greater.
OR
If you are a contractor parti_cipving in jhgPermi a Account System and have adeauate funds. check here
If you want this processed through your account E
** Advisory - For applicable projects, an Electrical Installation Verification (Ella) 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 1670 S. Main St., OshkoshVaiue (Incloding labor and materials) $4,000 Date 11/10/10
Owner - City of Oshkosh Contractor J. F. Ahern Co. .
❑Single Family ['Duplex [Wald-Family ❑Rectal ['Commercial . ®Industrial .
Number of Fixtures:
Bathtub ' Sump Pump Plaster Sink Roof Drain
Shower San. 3mnp/Pump Soupy Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waits Stn
Kit Sink Loeal Waste Sterilizer Ice Chen .
Disposal Bar Sink RPZ Valve X Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
•
Floor Drain X Clasum Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Sin
Water Heater F Prep Sink Dipper Well Deduct Meter
0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Warr Fntn Wtr Usage Mir X
Lndry Tray Lab Sink Catch Basin Misc 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 •
- . - e - ' - _ - _ " • _ _ , • - e - - - . - . - ■ backflovV
Size Material Type # Conn. Type preventer.
Sanitary Sewer
Storm Sewer
Water Service 2" Copper Type K 1 compression
06/09