The URL can be used to link to this page

Home My WebLink About0144368-Plumbing (2 exam sinks) CITY OF OSHKOSH No 144368 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 500 S OAKWOOD RD Owner MERCY MEDICAL CENTER OSH INC Create Date 12/13/2010 Contractor TWEET -GAROT MECHANICAL 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 2 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 2 exam sinks in Rooms 1H300 and 1H301 per State Approved Plan ID #1882838. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0613660000 Valuation $6,400.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By ak}'ltj1) Date 12/13/2010 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 11767 GREEN BAY WI 54307 - 1767 Telephone Number 920 -498 -0400 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 Oshkosh Inspection Services Division P 30 O Oshkhkososhh, , WI 54903 -1130 ( ....\\ Phone: (920) 236-5050 CQI�- KO�H Fax: (920) 236 -5084 ON THi WATFR Plumbing Permit Application 1 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 5100.00 plus the normal permit fee, which ever is greater. OR / ou a - _ contr. to r - , , ., . " , . DE • , , _ , - , , d have ad . , if vend wan this process 'd t o •ur ao06 it Job Address 50e) S 0a4 ,1M/ Value (Including labor and materials) i t lea — Date /Z- 9'- 20 /o Owner /Why Afklyed C,4g4r Contractor 7/ #/ 6 fitecza,,,,' [Single Family QDuplex ❑Multi- Family DRental Commercial industrial Number of Fixtures; Bathtub Disposal Drink Ftn Catch Basin Whirlpool dishwasher Wait. St. Wash Ftn Lavatory Sump Pump Ian Chest Urinal Toilet - Ejector/Grind ' Z Exam Sink Ga r Drain Rex_ Sink Water Softner Scut Sink rY' Soda Di+p Bar Sink Local Waste Hand Sink — — Coffee Maker Wafer Heater Clothes Wahr F Prep Sink Comm. lea Maker 0 Gas 0 Elect O PwrVnt Bidet —" — Shower —" Sow Sink Site Drain Beer Tap int Grease Trap ,-,__ _ Roof Chain Flour drain Glassrm Sink Ext Gra Trap Standp Rec Lathy Tray Surgeons Sink R.PZ. Va lve Eye Wash Stn Leh Sink Hrcakrtn Sink Floater Sink Shamp Sink W tr Sewer Mtra Dip Well Fk/WSt Sink Deduce Meters StariHxer — Misc. Hose Dips Wtr Usage Mtts phxntres Z. , . S Electric Contractor• . OR []Electric Installation Verification form attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer a . Water Service DE 3 2010 l,)t_=F zz /os INS.P MMUN y D EVELCPP EN EC - I01\ • SE DrviSION // sU "7 ;1-N-01 Safety and Buildings SAN LUIS PL commerce.wi.gov 2331 GREEN BAY WI 4304 • • R Contact Through Relay tiSconsin DEC www.commerce.wi.gov /sb/ Department of Commerce 201 www.wisconsin.gov DEPAR:rviEN1 OF Jim Doyle, Governor COMMUNITY DEVELOPMENT Aaron Olver, Secretary INSPECTION SERVICES uiVISION December 08, 2010 CUST ID No. 882574 AT N:: Plumbing Inspector TIMOTHY A CAYER MUNICIPAL CLERK TWEET GAROT CITY OF OSHKOSH 2545 LARSEN RD - PO BOX 1130 GREEN BAY WI 54307 OSHKOSH WI 54903 -1130 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/08/2012 Identification Numbers Transaction ID No. 1882838 SITE Site ID No. 666890 Mercy MedicaLCenter Please refer to both identification numbers, 500 S Oakwood Rd above, in all correspondence with the agency. City of Oshkosh, 54904 -7944 Winnebago County; Fire Dept ID: 7005 • FOR: Facility: 644431 MERCY MEDICAL CENTER 500 S OAKWOOD RD OSHKOSH 54904 Equal to or greater than 3 stories; Hospital, Nursing Home, or Ambulatory Surgical Center; Plan Type: Addition- Alteration; Sanitary Diameter DFU: 2; 2 Interior Fixture(s); Water Diameter GPM: 1 Object Type: Interior Sanitary Drain & Vent System Regulated Object ID No.: 1291029 Object Type: Interior Water Distribution System Regulated Object ID No.: 1291030 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include Local inspectors. All permits required by the state the local municipality shall be obtained prior to commencement of construction /installtion/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. TIMOTHY A CAYER Page 2 12/8/2010 Sincerely, Fee Required $ 90.00 ' This Amount Will Be Invoiced. When You Receive That Invoice, Wesley C Grube Please Include a Copy With Your Plumbing Plan Reviewer 2 , Integrated Services Payment Submittal. (920)492 -5613 , M -r 7:00 - 16:30, F 7:00 - 11:00 WiSMART code: 7657 wesley.grube@wisconsin.gov cc: Thomas L Braun, Plumbing Consultant, (715) 340 -5387 , Mon. 7:45 -4:30 Mercy Medical Center Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, component, material or device that is regulated under the commercial building code, chs. Comm 60 to 66, the uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing code, chs. Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. The term does not include the delivery of building supplies or materials, or the manufacture of a building product not on the building site. For further information, go to our website: www. commerce. wi. gov/ SB/ SB- BuildingContractorProgram.html • .x.