HomeMy WebLinkAbout0151813 - Plumbing (addition of warehouse) CITY OF OSHKOSH No 151813
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1755 W FERNAU AVE Owner GENERAL NUMBER ONE LLC Create Date 08/15/2012
Contractor VALENTINE READER PLUMBING INC Category 442-Commercial-Interior(New/Relocated Fixti Plan
Inspector Jerry Fabisch
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 _1 Misc.
Fixtures
Toilet Water Softner Hand Sink _ Urinal Wait.St.
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 1 Shamp Sink Catch Basin Eye Wash Statn 1
Water Heater
Use/Nature COMM/plumbing involved with the addition of warehouse
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1225800700
Valuation $1,500.00 Plan Approval ___ $0.00 Permit Fees $25.00 ❑ Permit Voided
Date 08/20/2012
Issued By 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.
Date
Signature
Agent/Owner
Address W 2015 INDUSTRIAL DRIVE KAUKANA WI 54130 -7517 Telephone Number 920-788-2494
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.
City of Oshkosh
CO
Inspection Services Division
PO Box 1
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 QJHKQJH
Plumbing Permit Application ON THE WATER
I 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 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
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and h e
if you want this processed through your account El e
AUG 1 7 2012
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,S# d.? ttthh Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeo iiittl ii1}tWb@§}itAiiiiiireT
with the permit application. Applications submitted without an EIV when such iihrtiiigi Q,Nicgt DIVISION
processed for Permit Issuance and will be returned for completion.
Job Address /7.rr O. h au"Aug-. Value(Including labor and materials) 1Y p 2 6' Date 11---1 2'
Owner Fe.42 £.l( Contractor 4t4 ih&-444114 ,i �.
•tom❑Single Family ❑Du lex ❑Multi-Family ❑Rental
Wommercial ❑Industrial
Number of Fixtures:
Bathtub Sump Pump Plaster Sink
Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp P
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink -T RPZ Valve
Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater F Prep Sink • Dipper Well Deduct Meter
0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr
Lndry Tray Lab Sink
Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work Q ir•J ,1 !n(IA- r1 • �/ '
Size T Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09