HomeMy WebLinkAbout0146182-Plumbing (laterals) .44- ' CITY OF OSHKOSH No 146182
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2407 JACKSON ST Owner RAIL REALTY LLC Create Date 06/03/2011
Contractor D.R. HANSEN PLBG. Category 444 - Commercial - Exterior Laterals 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 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 1 Eye Wash Statn
Water Heater
Use /Nature Install new storm sewer and catchbasin. **Debit Account **
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer 6" Plastic Lateral 1 New
Water Service
Parcel Id #
1219790000
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $57.00 ❑ Permit Voided
Issued By Date 06/03/2011
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 55 KNAPP ST OSHKOSH WI 54902 - 3448 Telephone Number 233 -1595
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.
06/03/2011 07:47 19202337466 DR HANSEN PLUMBING PAGE 01
City of Oshkosh
inspection Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fa= (920) 236 -5084
oN n4
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter desacibod, the wodc to conform to the
Wisconsin State Plumbing Code, in the perrlbrmance of which all parties hereto agree to and am band by mid statutes.
• Application(s) and fee(s) can be brougbt eo City Hall, Room 205 or mauled to Inspection Savicea, PO Box 1128, Oshkosh WI
54903- 1128. Commeascing work without permit(s) will result in frees being doubled or 8100.00 plus the normal permit fee, which
ever is gam.
OR
• u ar • • , • c • • • r i i • a i. ' i ' ermit e - , c • ant y and ha:v : • • - •. .
11 yoa WAn t his processed throrurA,yg8r acc ount RI
" .Advisory - For applicable protects, an meal Installation Verification (EN) form, signed by the Electrical
Contractor or Homeowner .(lion' insmriatiala. aiawed. paved by the . wnrr), stoat be trod
with the permit �. Applications subnlottted a°' . bedrs Ve►tis eptietd, will not be
processed for Permit Issuance and will be rod for completion.
Job Address a 407 SAc1 0 _ Valne (hicheding tobor mod m.reriaa) il sajCf. Date 612) i 1
Owner BI Ali?e■VNA Contractor .DR Ran6,n clurnbielSb
OsingieFamily DMdti - FamiIy ['Mesta [ Con onereisl
=wig
Number of Fixtures:
Bathtub Sow Pimp Flamm Stet Roottkiie
Slower Ses. Svagersp scullery Sisk Soda
Whidpool
Water sottmar Service Sink Caere ter
Lavatory s smmpipeRao saw sink silt Dram
Toilet Gaga FD Suwon Sink Ware San
Kit Sint Lama Wow Nearer
la at
Disposal Jilt Sint RPZ Wye Comm lee War
Diahwmder aodiern Sot Bidet int Omen Tap
Floor Dritin ammo Sint Urinal Bet clone Tap
Ho/6BM En Beer Tap Eye Wan sin
War= Hagar F Prep Sint Dipper wee Dad= barer
n cm: a staao PwrYar
. nrPiam Wrr Sewer t
clothes Weir Hand Silk
Zy !sue • Caleb Amin _L._ Moo Pidn.e,
Electric Contractor (for projects not requiring an EJV Form)
Use / Nature of Work r
Size Material INAle # Com1. Type
Sanitory Sewer
Stoll:J er 6 incr f AR. ?ice- 1 44 fr t )
Water Service
Received Time Jun. 3. 2011 9:06AM No, 5891 06/09