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HomeMy WebLinkAbout0151936 - Plumbing (interior plumbing) CITY OF OSHKOSH No 151936 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 230-250 N KOELLER ST Owner DISCOVERY PROPERTIES II LLC Create Date 08/15/2012 Contractor ABSOLUTE PLUMBING OF WISCONSIN Category 442-Commercial-Interior(New/Relocated Fixti Plan F-480-0812-P 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 1 San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet _ 1 Water Softner 1 Hand Sink 2 Urinal Wait.St. Fixtures Kit Sink Standp Rec 1 Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink 1 Drink Ftn Int Grease Trap 1 Floor Drain 2 Bar Sink Sery Sink 1 Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink 1 Shamp Sink Catch Basin Eye Wash Statn Water Heater 1 Use/Nature COMM/INTERIOR PLUMBING ASSOCIATED WITH THE REMODEL OF THE TENANT SPACE of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0611510000 Valuation $7,000.00 Plan Approval $0_00 Permit Fees $91.00 ❑ Permit Voided Issued By � Date 08/24/2012 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement.,the City strongly urges the permit applicant to contact the easement holder(s)and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address N1473 ELLEN LANE GREENVILLE WI 54942 -9602 Telephone Number 920-757-7222 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry), your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division POBox 1130 I 0111111111r Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 ci f I K DJI I '�--`ON T,-ii, WAT.FL{ Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Se , h» Ahl$*il 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,whit ever is greater. AUG 2 1 2012 OR If you are a contractor participating in the Permit e Account System and have cede i lfbk. �c1.ick here if you want this processed through your account CU MI lUIVI; D1:V�LO�MENT INSPECTION SERVICES DIVISION **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. ? r Job Address 3?Li F0 (lc (� S I Value(Including labor and materials) _`2, 0 0° Date 8 - I^/ Owner 11 V"\ T IA-e "S- Contractor �U,S�i I k 101 LA■v■kp 1 V\� ['Single Family ['Duplex ❑Multi-Family ['Rental Commercial ❑Industria Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener I Service Sink .f')utc 1 Coffee Mkr Lavatory I_ Standpipe Rec Shamp Sink 54--+ Site Drain Toilet Garage FD Surgeons Sink IN`O Waitrs Stn Kit Sink Local Waste ____ _ Sterilizer S`V\k- Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink 1 Bidet Int Grease Trap _I_ Floor Drain a Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater I F Prep Sink Dipper Well Deduct Meter re�� LI Gas i 1 Elect wrVnt Floor Sink Drink Fntn Wtr Sewer Mtr V Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures 3 «r,p s e.- Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work 12:€ IA'Ock ( © VI Size Material 1 Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09