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Home My WebLink About0152161 - Plumbing (new sanitary laterals) CITY OF OSHKOSH No 152161 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3555 MOSER ST Owner RONALD H/JANE K JOHNSON LLC Create Date 09/06/20.12_ Contractor FREDERICKSON, GENE TRUCKING&EXCAVAT Category 430 Industrial-Exterior(Laterals) 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 FIr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Fixtures 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 Scul Sink Drink Ftn ---- ry 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 IND1 New sanitary, storm and water laterals for warehouse addition — of Work Size Material Type # Conn.Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer 10" Plastic Lateral 1 New Water Service 8" Plastic Lateral 1 New Parcel Id# 1519606400 Valuation $89,300.00 Plan Approval __ _ $0.00 Permit Fees $150.00 ❑ Permit Voided I Issued By //0"0 "--" Date 09/06/2012 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 appli tion within an easement,the City strongly urges the permit applicant to contact the easement holders anre apy( nary app s efore starting such activity. Signature iG% _7- q Date / �,2 Agent/Owner J Address 4450 FIELDCREST DR KAUKAUNA WI 54130 -0000 Telephone Number 920-766-1100 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 P O Box 1130 #114 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 01HKO1H 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 have adequate funds, check here if you want this processed through your account **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 -�✓ r3 �st/cfl Value(Including labor and materials) 4 (� 89 300. °� Date 9�� Owner No.C�r i LL-C- Contractor /� J r- '� ( SILL �r'GVCr.�,Ll�-�D.1 6 r .aCea .". ❑Single Family ❑Duplex ❑Multi-Family ❑Rental [p�£ommercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Shower Roof Drain San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkt- Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink 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 ❑Gas❑Elect❑PwrVnt Floor Deduct Meter oor Sink Drink Fntn Clothes Wshr Wtr Sewer Mtr Hand Sink Wash Fntn Lndry Tray Lab Sink Wtr Usage Mtr Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn. Type Sanitary Sewer y'' 7, C.- Jail 5/0 Storm Sewer /0 .. P VC- Water Service e9"r 1.a c _ r /ajs,J,.ti, � wl., JS .rAe..c 06/09