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
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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