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HomeMy WebLinkAbout0152520 - Plumbing (interior plumbing) CITY OF OSHKOSH No 152520 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1410 ALGOMA BLVD Owner PAINE A RT CENTER&GARDENS INC Create Date 09/21/2012 -- -------- Contractor AHERN-GROSS INC - -Category 442-Commercial-Interior(New/Relocated Fixti Plan 09-462-0112-P Inspector Jerry Fabisch Bathtub Clothes Wshr Classrm Sink -- - Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tra y Exam Sink ---- Sterilizer Soda Disp Whirlpool P Wtr Sewer Mtrs P —_Sump Pump F Prep Sink RPZ Valve Coffee Maker Lavatory Wtr Usage Mtrs ry San Sump/Pump FIr/Wst Sink --- Bidet Site Drain --- - Misc. Toilet Water Softner Hand Sink 1 Urinal Wait. --- --_-- ait.St. Fixtures Kit Sink Standp Rec Lab Sink --- Beer Tap Ice Chest 1 Disposal --- P Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher --— 1 Local Waste _ Sculry Sink 3 Drink Ftn Int Grease Trap Floor Drain 2 Bar Sink Sery Sink Wash Ftn Hose Bibb - __ Ext Grease Trap Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use/Nature COMM/INTERIOR PLUMBING FOR ADDTIONAL FIXTURES ADDED TO PERMIT#150040 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1200680000 Valuation _$5,000.00 Plan Approval $0.00 Permit Fees $56.00 [1] Permit Voided i Issued By -- -- Date 09/21/2012 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 218 S MAIN ST FOND DU LAC WI 54935 -4908 Telephone Number 920-921-1414 _ 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 _Oshkosh, WI 54903-1130 Phone:(920)236-5050 Fax: (920)236-5084 w ...,�R EC 4 ► v' 4 t ON Plumbing Permit Application SEP 21 Z012T� ,�rFR I hereby apply for a permit to do and install the following plumbing on the premises hereinafteDdekgi� e Wisconsin State Plumbing Code, in the performance of which all parties hereto achnik eril6g s ' at to to the • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection INSPECTION es,PO Box 1128,IS �N 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 1 **Advisory-For applicable projects, an Electrical Installation Verification(Ely)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 1410 Algoma Blvd Value(Including labor and materials) $51000.00 Date 9-19-12 Owner Paine Art Center Contractor Ahern - Gross , Inc. ❑Single Family ❑Duplex ❑Multi-Family ❑Rental El Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink 3 Soda Dis Whirlpool Water Softener p Service Sink Coffee Mkr Lavatory Standpipe Rec Shame Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest 1 Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher 1 Breakrm Sink Bidet Int Grease Trap Floor Drain 2 Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well u Gas I I Eiect:_i PwrVnt Deduct Meter Floor Sink Drink Fntn Clothes Wshr Hand Sink 1 Wtr Sewer Mtr Lndry Tray Wash Fntn Wtr Usage Mtr Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) 8 x $7 .00 = $56 .00 Use/Nature of Work New Kitchen Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09