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Home My WebLink About0151457 - Plumbing (remodel 5th and 6th floor) CITY OF OSHKOSH No 151457 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 522 530 N MAIN ST Owner OSHKOSH HOUSING AUTHORITY Create Date 07/31/2012 Contractor JIM'S PLUMBING&HEATING INC Category 442-Commercial-Interior(New/Relocated Fixti Plan 01-444-1011-P Inspector Jerry Fabisch Bathtub 18 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower 2 Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory 18 San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet 18 Water Softner Hand Sink Urinal Wait.St. Fixtures Kit Sink 18 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 COMM/Interior plumbing associated with the remodel of the 5th and 6th floor of Work 5 Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0401220000 Valuation $40,000.00 Plan Approval $0.00 Permit Fees $518.00 ❑ Permit Voided Issued By Date 08/01/2012 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. 08/01/2012 06:06 FAX 920 757 6482 JIM'S PLUMBING �001/001 Inspection Services Division POSo:; ; iii? Oshkosh; WIT ;�}9tt3-!1.i0 Phone: (920) 236-5050 (#14,1145)144 Fax: (920t236-5084 Of KO/H ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the fallowing 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 54%3-1128. Commencing work without permit(s) will result in fees being doubled or 8100,00 plus the normal permit fee, which ever is [irate. OR If von are cammractor parric-inat:i._ iii the Perini' Fee A cc. mar Si'viem and have ynate funds, chock her if you ITC/;u this processed throuchl.oeir account L . /-7,._:,)/". 1,45 . ,r 4, L..'" / 'F ��a 5`/r"�c,.J x.y; ,/ of s, " Advisory - For 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 submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address ..--, mta /.J• l%.--i r t„.. ._/ Value "Inc .. ",31/ i `w.' Date aa fd Owner � P 5.��dv�i;�°y , i`?"1`v�, ._„} Contractor .�pit �`�i � (Single Family LjDuplex ' a `!ts°htlti-Fa€atiiy �:l�ental Cotntnercial - ❑ ❑l.ndustrial Number of Fixtures: Bathtub I, /r Sump Pump ria.S .7 Sink --- Roof'Drain ___ Shower t.:- San. Sump:Pumi' _ % S0” Soda Disp Whirlpcoi : W'aterSo_`.'„-:.: n:.. Sink---- a Coffee Mkr Lavatory p=r Standpipe , h•:z�:: , Sue Drain Toilet 1 u.- ,Garage FD =.__r5 Sink „';}itrs Stn Kit Sink M:4 f c:. Local\4a_tt - - .,u ,..- ice Chest Disposal Bar Sink RP::: .. Comm Icc Maker Dishwa.sh.oi Ureakrnt Salk int Grease Trap Floor Drain - Classrm S,n- Fix(Grease Trap I-lose Bibb Exam Sink :13,:er Tap [ye Wash Stn Water Heater F Prep Sink _--- Deduct Meter Gass Elect '`.x rVni - -- Floor Sink _,. .... .... We Sewer Mu. Clothes Vts'sO, ___. Hand Sink W•r Usage Mir -- - __ Lndry Tray Lab Sink t3'sir: Misc.Fixtures Electric Contractor (for projects not requiring an El ' Form) Use / Nature of Work Size Material Type - Cols:. Type Sanitary Sewer Storm Sewer Water Service Received Time Aug. 1. 2012 5: 31AM No. 0263