HomeMy WebLinkAbout0146149-Plumbing (interior) CITY OF OSHKOSH No 146149
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1680 -1698 S KOELLER ST Owner MARLIN KOELLER LLC Create Date 06/01/2011
Contractor JIM'S PLUMBING & HEATING INC Category 442 - Commercial- Interior (New /Relocated Fixti Plan
Inspector Rich Wood
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 2 San Sump /Pump FIr/Wst Sink Bidet Site Drain Misc.
Toilet 2 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 1 Int Grease Trap
Floor Drain 2 Bar Sink Sery Sink 1 Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use /Nature Mattress Firm Store / Interior remodel with electric water heater. **debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1307440403
Valuation $6,000.00 Plan Approval $0.00 Permit Fees $63.00 ❑ Permit Voided
Issued By Date 06/01/2011
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 W6166 GREENVILLE DR GREENVILLE WI 54942 - 9676 Telephone Number 920 - 757 -5258
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.
06/01/2011 10:04 FAX 920 757 6482 JIM'S PLUMBING Z001/001
City of Oshkosh - Inspection Services Division - Plumbing Permit Application
Page 1 of 1
CITY OF
Dim: mot Inspection Same.,
215 Church Avenue
P.O. Box 1100
(LP]■:WK4) H O1hkma, WI 64903.1110
Fax (920) 236.5084
ON THE WATER Shona (920) 236-5050
PLUMBING PERMIT APPLICATION
All Information with • next to It must be provided. Incomplete applications will not be processed.
I hereby apply for a permit to do and install the fofowing 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 Halt, Room 205 or melted to Inspection Services, PO Box 1128, Oshkosh WI 54903.1128. Commencing work without
doubled or 5100.00 plus the normal permit fee, whch ever Is greater.
perrttlt(s) will result In fees being
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•• Advisory • For applicable project., an Electrical Installation Verification (11V) form, signed by the Electrical Contractor or Homeowner (for Inetallauons allowed to be performed
by the homeowner) must be submitted with the permit application. Application. submitted without en EIV when such Is required, will not be processed for Permit Issuance and will
be returned for completion.
Er
•308 ADDRESS Q taiessa daa►'
•OWNER _ (i fa en if- /." --,i"
•CONTRACTOR j i ,yra. $
*VALUE
- Go T
c
•uSe CATEGORY
r Single Family r Duplex r Multi- Family r Rental ya Commerc101 f
���,llll Industrial
Bathtub I Sump Pump j" — �
f Plaster Sink E- Roof Drain
Shower I San. Sump /Pump F--_
Scullery Sink I Soda Crisp r'
Whvlpeol r.77 Water Sol;ener f---
I.._ . ,., 7 Service Sink ET Coffee Mks f —'
lavatory i Standpipe Roc I----- l
I Shemp Sink 1 ----- Site Dram 1�—
ilet 1 T1 r ----- Garage FD
I Surgeons Sink f ---- ' Vlanrs Stn
Klt Sank I - ' Local Waste I��
1 Sterilizer r Ico Chest
Draposal
1 Bar Sink f --- I
I RPZ Valve I Comm Ice Maker r`
Dishwasher r Breakrm Slnk r'��
Floor Dram �--r I~ Bidet 1 Int Grease Trap l--
I. [ Classrm Sink 1
�� urinal E7 Eat Grease Trap 1—' —'
Hose Bibb i Exam Stnk I --
f'''-: I Beer Top 1 ---- Eye Wash Sln I�
Water Neater 1 F Prep Sink t I
1 Dipper Well r—': Deduct Meter r—
r Gas k Electric r Pwr Vet Floor Sink
l'_ 1 ---- Drink Fn[n 1 Wu- Sewer Htr
Clothes Wahl. 7 Hand Slnk f�
1 � wash Fran I Wh Usage Mtr F---
Lndr Tray I - 7 Lab Sink I---- r �
I Catch Basin 1 - Mist Flxwras I--
*USE / NATURE OF WORK
•VALUE (including labor and all materials Including light fixtures)
I
I( ELECTRIC CONTRACTOR (for projects not requiring an EIV Form)
II
sire Material
Type 0 Conn. Type
Sanitary Sewer 1 ( r
I. 1
Starm sewer I I I 1
•
Water Semite I I - - 1
I_ 1
.'Su2!J : heel'
Received Time Jun. 1. 2011 9:36AM No. 5856