HomeMy WebLinkAbout0146366-Plumbing (trench drain) 0 CITY OF OSHKOSH No 146366
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 333 W 29TH AVE Owner OSHKOSH CORPORATION Create Date 06/15/2011
Contractor KURT ZENTNER & SONS INC Category 431 - Industrial - Exterior (other) 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 FIrIWst Sink Bidet Site Drain Misc. 1
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 Trench Drain
Use /Nature Install trench drain for storm drainage at added loading dock
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1413490000
Valuation $3,500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 06/15/2011
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 2860 OREGON ST OSHKOSH WI 54902 - 7136 Telephone Number 235 -1340
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.
Ay r..26. AV. .26. 2010 1 :04PM CITY OF OSHKOSH INSPECTION SO9 °N MSS 6 l101 V I, J ' panic °4
City of Oshkosh
Inspeettan Services Division
P 0 sox 1130
Oshkosh, wi 54903 -1130 • ®
Phone: (920).236 -5050
Fax: (920) 236.5084 • A131711
Plumbing Permit Applicatio
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confo to the •
Wisconsin State plumbing Code, in the peiformanoe of which all parties hereto agreo 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 11* Oshkosh' WI '
54903 -1128. Coax/mooing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever b greater.
OR . .
,{f vou ar® a contractor as t el , '+ , 1 he P . ,, e - c 4 - , st - i c d av - , r • f . t , h : ,
if you want this vrocessea(throvtrll vorrr agcount ►'
•
** Advisory - FoY applicable projects, an Electrical Installation Verification (EIV) 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 subniitted without an E' when such is required, will not be
processed for Permit Issuance and will be returned for completion,
ow
Job Address 3 3) 1 ✓ - z-7 ( Atitr Value (Including labor and materials) 5 -moo Date 6// j
Owner X 0 5. - Contractor &z-r Z- n".w4._ f r wor r Ac c....
['Single Family ❑Dup ex QMu1ti- amity ['Rental []Commercial Industrial
Number of Fixtures:
Bathme sump ?was Piaster Sisk Roof Drain
Shower Sam Sump/Pump Scullery Sink SodaDkp
Whirlpool Water Sohcner Service S ink Coffee Mkt
Lavatory Standpipe Reo Slump Sink Site Drain
Toilet Garage FD Surgeons Sink Wants Stn
IC1t Sink Local Waste SterWzer I e Chest
Disposal Bar Sink i : RIM Valve Comm Ice Maker
Dishwasher Break= Sink Bidet Int 13rease Trap
Floor Drata - -- Clan= Sink Urinal Ed Crease Trap
Bose Bibb • >SramSLsk Beer sp Rye Wash Ski
Water Heater FPrep Sink DipperWell Deduct Meter
0 012 d ElectO Par'V'nt Floor Sink ' Drink Fnra Mr Scwcr Mtr
Clothes Wzhr Fraud SWc Wash Fate ' wu Usage Ma
Dicky. Tray Lab Sink CatchBasir MlscFixtures
Electric Contractor (for projects not requiring an ETV Form) -
Use / Nature of Work i.7, , // tee . 4/..: /n -4-- nor/ /Di 444_
Size Material Type # Conn. Typo
Sanitary sewer
'ti 'G 4 Si— I / 0.1. (' r /,)
Strom Sewer f?
Welsm9tudoe 914 I- Ia ic've-- &- -')
•
06/U5