HomeMy WebLinkAbout2012-Plumbing (storm drain piping) IQD CITY OF OSHKOSH No 151944
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1506-1518 S MAIN ST Owner BLENDED WAXES PROPERTIES LLC Create Date 08/24/2012
Contractor GARTMAN MECHANICAL SERVICES Category 442 Commercial-Interior(New/Relocated Fixti Plan
— - ----- ----
Inspector Jerry Fabisch
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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 Fixtures
---- 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 Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use/Nature 1COMM/strom drain piping —of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer 8" Plastic Lateral 1 New
Water Service
Parcel Id#
0305310000
Valuation $1,500.00 Plan Approval —__ $0.00 Permit Fees $50.00__ ❑ Permit Voided
Issued By . J 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 520 W SOUTH PARK AVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530
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 '��'
PO Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
0.1. o1H
Plumbing Permit Application Ohl 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 resultinfees_bein doubled '
ever is greater. being plus the normal permit fee,which
OR
u area contractor participating in the Permit lee Account System and have ade wale funds
i ou want this processed throw h your account check here
AUG 2 4 .2012
''�*Advisory For applicable projects, an Electrical Installation Verification(ETV)form,- ,;
Contractor or Hoineowner for. ..
( installatYOns allowed to be performed by the homeo �' i DIVISION
with the permit a l.ication. Applications submitted without'an ETV when such is required, will not be
-WENT
p PP PP DIVISION
processed for Penult Issuance and will be returned for coifs/Ile-Non
Job Address. /5�� S'. m A�,✓ c ��
� Value(Including labor and materials) Date g-p1/-/2
Owner &F.�D%.Y® u�A lc �-�-L
Contractor �;
}
Single Family []Du lea �,���^�t�A-( � •� tc�
P ❑Multi-Family ❑.Rental [:Commercial JIndnstrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher Think Fm Catch Basin
Lavatory Sump Pub Wait St. Wash Fm
Laval Ice Urinal
Ejector/Grind Exam Sink
Res.Sink Water Sealer Gar Drain
Bar Sink Sculry Sink Soda Disp
Local Waste �
Water Heater Hand Sink Coffee Maker
Clothes Wshr
D Gas Heater
Elect 0 PwrVnt F Sink Comm.Ice Maker
Bidet
Shower Sery Sink Site Drain
Beer Tap h t Grease Trap
Roof Drain Drain
Classrm Sink Ext Grease Trap
Laidry.Tray Stan Rec
'Surgeons Sink W.
Lab Sink R P Z Valve Eye Wash Sin
Bieakrm Sink
Plaster Sink Shrimp Sink Wtr Sewer Mfrs
Sterilizer
Hose Bibs Dip WWII F1r/Wst Sisk
Deduct Meters
Misc. Wtr Usage Mars
--.__-. __ Satires
•
'Electric"Contractor(for projects not requiring'an EIV Form)
Use/Nature of Work
rte `
, I ,■ ,--- r41'f.0
Size � '
Material Type #
Comm.Type A,.�.I CD 11'ft9-C%
Sanitary Sewer �volt�f � �
AL
Storm Sewer A V
Water Service
m
.._... .... . . ..
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;Attachments can contain viruses that may harm your computer. Attachments may not display correctly.
Dale Weitz
From: Bob Coglianese [bobcog @blendedwaxes.com] Sent: Wed 8/22/2012 9:42 AM
To: Dale-Weitz ---
Cc:
'
• ,- --.tian-of-Generaf-Permit-Eaves,- .- -. • — s o . • • .ndensate &
Boiler Water
Attachments -NCCw- 05 Permit Fact Sheet.pdf(2MB)1 Blended Waxes Blank-NCCW DMR.doc(67KB)
Robert D. Coglianese
ie opera ing • icer
Toll Free (800)-294-4692
Long Distance (920)-236-8080 Ext. 106
Fax(920)-236-8085
E mail bobcog @blendedwaxes.com >g
From:-Jameson, Nan E DNR [mailto:Nan.Jameson @Wisconsin.gov]
Sent: Tuesday, August 14, 2012 3:05 PM
To: Bob Coglianese
Cc: Jameson, Nan E - DNR; John Cherubini; Paul Gereau; Ben Tremble
Subject: Confirmation of General Permit Coverage- Noncontact Cooling Water or Condensate& Boiler Water
•
August 14,2012
Robert D. Coglianese
Vice President%Chief Operating Officer -
Blended Waxes Inc
1512 South Main Street
Oshkosh, WI 54902
Mr. Coglianese-
http://192.168.1.3/exchange/dweitz/Inbox/FW:%o20Confirmation%20of%o20... 8/22/2012