HomeMy WebLinkAbout0153283 - Plumbing (interior plumbing) CITY OF OSHKOSH No 153283
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 457 N MAIN ST Owner STAPEL PROPERTIES LLC--- - — — — — Create Date 10/31/2012
Contractor J RASMUSSEN PLUMBING INC
--- Category 442-Commercial-Interior(New/Relocated Fixti Plan
Inspector Jerry Fabisch
-------------
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
----- — Deduct Meters
Shower
Lndry Tray Exam Sink Sterilizer Soda Disp--- ------ P Wtr Sewer Mtrs
Whirlpool
P _ Sump Pump F Prep Sink RPZ Valve _Coffee Maker Wtr Usage Mtrs
Lavatory San Sump/Pump Flr/Wst Sink 1 Bidet
----- Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait.St.
Fixtures
Kit Sink Standp Rec 1 Lab Sink Beer Tap k Ice Chest
Disposal Gar Drain Plaster Sink Dip Well
- ---- P Comm Ice Maker
Dishwasher Local Waste Sculry Sink 1 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 store
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0700210000
Valuation $2,500.00 Plan Approval __ $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By —
Date 10/31/2012
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(work
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.
10/31/2012 04:35
il41-101:1"..i;Pi
1/1.40D
P 0 ri.o:x iI'JO
(..)sb kottii,
WI 54903-I T30 9202311289 J RASMUSSEN
(2) PAGE 01/05
Phor.le:(c20)236-5050 \.. .,
FTIT:(920)236-5084
( -)11 )/1"--
-',—.:.:......1....-_,.. ., 1
Plumbing Permit Application
I hcrehy apply for a perrnit tr de onci irottail the-Fr'-1.101"i-ng 111117n g en the Premisei bereinofter det,criberi„the work to conform to the
111risconttin Stott Plumbing Code,in thi.....ocifnrrnonce of.vithitth on parties hnlyzo Av.ec to Asvi;lit holluci 1,,,nail ci Ail:atilt:lc
* APPli‘*irin(9)and fce(5)ca'l he t'aliught to City ITsli,Rooth.2.05 or:nailed to Inspeclion f.c;criricts,N)finx 11 211,(..)shkosb WI
34.0411-0 28. Corninonciing work without perinil.(s)Fill ret".4tilt.in'fees being doltbled or$100.00 ph ts tht r.orinal permit Inc,which
tnrer ca Areat4.,s.
OR
./j.ittly, 0 t'' 0..c.,9_011,11..C..1(124'.:_p_111.1 .1.e.r...i.Ng-t2.1.112S__Llgill..Lt-lf44..c..a.97".mr-iilaig.tex_iag.4
..t.-A. Advisoly_r or ontiarabk projects,ari Electrical'Installation Verification(E117)fat.m,3)i vita by the Veetricx/
Contractor or Hornooeppiler(for,instanationA allowed to be parfamed by the boxne.owner)on/s1 he subefrinegi
.tyi ith tbc pexmit apoicatior.o, ,Arloos snlmirted.vrilitont an Fill whim sneis is retrired,wit/noit Im..
piroccsscirl for Permit ISFaMre..Md.vv.ild ht.regm:ned for compktion..
oit. Agidn,,,s5 5--)___A-J.4_4V- -.,... ,,....frf- v..„,„„ „,d,„,Inbor snd nnaterinbl
LI, arbo 1.15'
. /D-30—(2.
5-nk-p 1.(. Contractor -1- 77,-,c.
(y.3)TAcr
i :Mill oti-Fstroily 1...7.11Innliostriall
ElSilltgAt PAM f(liy rjOIPTDV.V. EIRCITO ad ',,.?(Cromiriere.ial
NTn m her of Flot..tiorlei:
rohnih -__ Slymp Sulk Roar 1)rir _.. . --
San.Stmpft'uni) ..____.. Smille.ry Print( odiA Disp .. .._.
shower ----- cofrm,MITI'
WItiti.fxsol .. .. -.- Vt/tuctr!0•111:anc* ...-...-.... !Flentictt, n
Sik —._......,
Shanin 9 I --
TIIT Si n DobiD ..... ...
,.tv.,,,I.07,/ .. ....... Stnnilpipc A•c, _._ --.
lAiniirs Si.t)
Grog:.I'll sill-um:I Sink -------
T.octir'01.TtrAcc. Axeril.l.zcs .._... .
1?..m.3infr _.. . .... RPZ VEINC - . .._ (..41mni 1nct■dolz cs -.
Breilh.vm Sint( .._._-...... BOO. ____.,.. Mre.'371Au cTmp ..- --'-
1 visIrMtlhett --.... - PAM OrCARC.TOW ....... —...
C.Inrm or 5iiiir ____ 'Urinal
FyoltAra911 511)
evron ifril,r 13.4.1 Tap _____.„. .......--.--
1%se TII.1.111 .............._ 1..r....111.nt?dam'
m rrcp sink ._...... . Dippci W ! __., .
‘.3fi niTtet Wri rir,<Vcr it
.ilips t.1:..1;:c;r;NcA/10 I'1001.Sink Drink''NM ,.__._...-
ClollirF _
WI* - ... ilA rid iinIc .„...-... Wagh Pan 'Ili/1.1.1 Imp":ttit.r ..._..,...
1 n...h-v T rtly , I.r.t.Sinir ..__- . Cntr.h Bann) itittsr,fl,roin!).; _......,.....
VIC:C111C Comtl-actior(for proleRts not tretirArig an FIN'Form)__________ ...______________.
..
4- ItAINP ,,C-4 -4- A
..:r_ Ai?,
irsc/Nottn re of Wfirk /t -_...-55---CSAit--u?1,11--.1--c(1.41
.---
IVIrhIrriti/ T:sqw . Com. lyric.
StIrti't ary Se),..vcs
!...,,Into,SC,VtiOT
1 'IvAte.t.r:Ict.,,icr. .._ ,, _.. .,..._ .., ...... ...... ..._ ...._
Received Time Oct. 31. 2012 5: 24AM No. 1473