HomeMy WebLinkAbout0145207-Plumbing (grease interceptor) CITY OF OSHKOSH No 145207
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2050 2060 S KOELLER ST Owner BENJO LLC Create Date 03/21/2011
Contractor J RASMUSSEN PLUMBING INC Category 443 - Commercial- Interior (Replacement Fixtur Plan FL -416- 0311 -P
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 1
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 replacement grease interceptor at Eaton's Pizza (2050) per approved plan. Installation of work shall not be
of Work covered prior to a plan submittal approval as required per Comm. 82.20 and inspection request as per Comm. 82.21.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1323100300
Valuation $80 00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By v Date 03/21/2011
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.
03/20/2011
Services 07:37 Divlslon 9202311289 J RASMUSSEN PAGE 01/01
City of Oshkosh
P n Box 1130 1
Oshkosh, W1 54903 -1130
Phone: (920) 236 - 5059
Fan: (920) 236 -5084 Oil- -KO ^-{
ON THE WA rFR
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 Cods, in. thc performance of which all parties hereto agree to and arc bound by said statutes-
.
• Application(s) and fee(s) can hc brought 10 City Hall, Room 205 or mailed to Inspection Services, PO Box 11.28, Oshkosh WI
54903 -1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plug thc normal permit fee, which
over is greater.
OR
%f ve are o _cnn+rrsctnr a p 7 c(p ri'g in the Perin' ce vnt S sv ier u! lTiave adaau r� furr ds_,_fheck he
if you j qRt this prncgs_ail throu>rh y_pur account
°''" ,Advisory • For applicable projects, au Electrical Installation Verification. (ETV) Gym, signed by the Electrical
Contractor or Homeowner (for installations allowed to be preformed by the homeowner) must be submitted
with the permit application. Applications submitted without an ETV when such is required, will loot be
processed fair . a�otaoit!ssolaliLce and will be returned for completion.
ob A O ea, 0 ..5-b 1. 2 /k r 40 Valnc (lnalod.ina ltihnr and materials) v o� Date .,^•Z l- " •
Owner fir O - • Contractor X0.5 ti'' 1a .S S 2 "' p 1 1 • r
❑Single Family ❑Dlaplex DMaiitii- Family DReotal sCommercdal Diudastrial
Number of Fixtures: .
i3atbrb — Sump Pump _ - Meter Sink �,. Rnor Drain
Shower _,___,__, San. Sump/Pump Scullery Sink Soda L)iap - -_,.
Whirlpool - -• - Olsten Snftcncr Service Sink Cc ee Mkt
Lavatory Sumdpipc Rec. _ Skimp Rink --_ ^-- Site Drain „--
Toiler _„_ —, Canine Fi) Surgeons Sink _ , Waitrs Stn -°,_--
Kit Sink -- — _ Loa Ware Stcril'er ._� ,._ . Ice Cheat _ , —
Disposal „_ Aar Sink - RPZ Valve _,_,�_ -. Comm Ise Maker
Lyirehwa9hal' ..__...
Break= Sink Bidet Int Grease Top j
,•.
Flax Drain -- Clarrrm Sink Urinal
—"--- Fact t7resxe'frap
Rope R ibb Exam Smk Beer Tap --- Eye Waal' Stn
Water Rester F Prep Sink Dipper Well ---- Deduct Meter ---
LI Cies 1.1 Elect ri PwrVnt. NOW Smk — _ Chink Fame _� W Wit Sewer Mtr - -_
Clothes Wahl' , —_ Fiand Sink Wash Fmk Wd' Usage Mr --
lndry Troy ..... — Leh Sink - Attain -- Miac'Fixennec ....., --
Electric Contractor (for projects not requiring an EN Form) _
Use / Nature of Work k -„4 j' ` L,2 _ 'r 'N +, -- -
. Sire Material _ Type 4 Conn. Type •M ..
Sanitary Sewer
Storm Sewer
Water Service
�,� 1 /// ' o lil-P 05,4,,
Received Time Mar. 20. 2011 8:19AM No.5006