HomeMy WebLinkAbout01529090 - Plumbing (remodel floors 7, 8, 9, and 10 of Tower bldgs) CITY OF OSHKOSH No 152909
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 522 530 N MAIN ST Owner OSHKOSH HOUSING AUTHORITY _
— -- —_— Create Date 10/12/2012
Contractor JIM'S PLUMBING&HEATING INC Category 443-Commercial-Interior(Replacement Fixtur Plan 01-444-1011-P
Inspector Jerry Fabisch --
Bathtub 32 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
Shower 4 Lndry Tray --- Deduct Meters
y Exam Sink _ Sterilizer Soda Disp Wtr Sewer Mtrs _
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker
Wtr Usage Mtrs
Lavatory 36 San Sump/Pump Flr/Wst Sink Bidet
- ----- _ ___Site Drain Misc.
Toilet
36 Water Softner Hand Sink _ Urinal Wait.St. Fixtures
Kit Sink 32 Standp Rec Lab Sink Beer Ta
p ___ 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 'COMM/interior plumbing associated with the remodel of floors 7,8,9 and 10 of tower building
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0401220000
Valuation $78,000.00 Plan Approval $0.00 Permit Fees $980.00 ❑ Permit Voided j
Issued By 3...i--:
Date 10/12/2012
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 W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920-757-5258
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.
10/12/2012 06:21 FAX 920 757 6482 JIM'S PLUMBING X001/001
City of Oshkosh
Inspection Services Division �(
POBo 1130
V'
Oshkosh. W1 54903-1130
Phone: (920)236-5050
Fax: (97017-.;6-5084 Of-<011-1
ON THE WATER
Plumbing Permit Application
I hereby aopi�. 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 8100.00 plus the normal permit fee,which
ever istt :_tet. "fir e
QR a. '
if von a a co,ilractor pan icipair,1 in the Permit F-.r ,tic ;-oaf Systen2 and have adequate funds, check here
if 1011 lvahr this processed thtfi0 h your CICcnu n1 ;-'o'`l<:.
** Advisory - For applicable projects, an Electrical Installation Verification(MIT) 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 EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
job Address 5 ,
Value (Inch . _ :: ' dmateiiita r- Date i1¢ : .
Owner - _ C?; .`, Contractor
Single Family -]Duplex �l4uiti-Family 'Rental -4Commerciat f Industrial
Number of Fixtures: -
i3atlln.i'r? ':''''aster
_' sump! ':". ____.-..__ Sink Roof Drain
Shower �__ San.Stir , , n Sink Soda Disp —
'Whirlpool — Water Si-,itenor er,.i rSin!; CoflecMkr
t,avat,r:, „ -__ Standpire Rec _. ._. .hemp Sink Site Drain
foi!ct (;amigo ED —_--- Scrccons Sink -- Waitrs Stn
Kit Sink Lo alWas:c --- _.crihzer !ccChest
Disposal Bar Sigh R:-(. '-rave Comm Ice Maker
Dish aru'sier Breakrm Sink Int Grease Trap
Floor iir,:u: _
C'lassrm'hte at Grease Trap
Hose Bibb Exam Sin's Etcer lap Eye Wash Stn
',Voter Renter F Prep Sink Di,,iTer Well Deduct Meter
i Gas PwrVni Flom Sink Drink t r n Wtr Sewer Mtr
-:Toth•..- sin Hand Sinnk ,art W!r Usage Mtr
I_ndrr rr-:o _ Lab Sink a[_h.Basin Misc Fixtures
Electric Contractor (for projects not requiring an [IV Form)
Use /Nature of Work:
( Size Material --- "lye f? Conn.Type
i
Sanitary Se;.e.
Storm `ever
Lwater Sen.ice V:-
Received Time Oct. 12. 2012 5:44AM No. 1219