HomeMy WebLinkAbout0153255 - Plumbing (interior plumbing) CITY OF OSHKOSH No 153255
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1 N MAIN ST Owner OSHKOSH INVESTORS LLC Create Date 09/26/2012
Contractor JIM'S PLUMBING&HEATING INC Category 442-Commercial-Interior(New/Relocated Fixt Plan K2-485-1012-P
Inspector Jerry Fabisch
Bathtub 166 Clothes Wshr 4 Classrm Sink Surgeons Sink Roof Drain Deduct Meters 1
Shower 12 Lndry Tray 1 Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool 5 Sump Pump F Prep Sink 1 RPZ Valve 2 Coffee Maker 2 Wtr Usage Mtrs
Lavatory 191 San Sump/Pump Flr/Wst Sink Bidet _ Site Drain Misc.
Toilet 196 Water Softner Hand Sink 3 Urinal 7 Wait.St. 1 Fixtures
Kit Sink 8 Standp Rec Lab Sink Beer Tap 2 Ice Chest
Disposal 1 Gar Drain Plaster Sink Dip Well Comm Ice Maker 1
Dishwasher 1 Local Waste Sculry Sink 2 Drink Ftn 2 Int Grease Trap 1
Floor Drain 2 Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb 1 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use/Nature COMM/Oshkosh Premier Riverfront Hotel/Interior plumbing associated with the construction remodel of a hotel
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0100400000
Valuation $550,000.00 Plan Approval $0.00$0.00 Permit Fees $4,298.00 ❑ Permit Voided
Issued By -� — Date 10/30/2012
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.
10/30/2012 11:23 FAX 920 757 6482 JIM'S PLUMBING 11001/001
City of Oshkosh
Inspection Services Division
P O Boy: 1130
Oshkosh.WI 54903-1 130
Phone'. (920) '36-3030
Fax: (920)230-5084 Q[-KOJH
ON TI-1 e WATFR
Plumbing Permit Application
I hcreb, e p;k for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
W consin State Plumbing Code, in the performance of which al parties hereto agree to and are bound by said statutes.
e Application(s)and fee(s) can be brow I i to City Hall, Room 205 ot mailed cd to Inspection Services, PO Box 1128,Oshkosh WI
54003-1128. Commencin<<work without permit(s)will result in fees being doubled or 5100.00 plus the normal permit fee,which
ever is air.
OR
If you c oniracior particioutin in the Permit Fee „'c- _un1 System and have funds, check here
if you 1!'L,... this processed throil hr :'(Jill' 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 I. ;'l - Value nricluithiii klb,7rana materials;."*.5.5D Date /0/ -
()Miner Contractor - .
❑Single Family -Duplex JMulti-Family Rental Commercial Industrial
Number of Fixtures:
ti __' s ' Sump Pump er Sink Roof Drain
r3athn�,; _ -
Shnoeer _ 2, San,Sump ._-_ S.:u:izr, fink Soda Disp
fi-
Whirlpoo _ Water S.::lecer Seia.Ice Sink Coffee Mkr .x;,
111 Standpipe r au me`iak Site Drain
Toilet .1.''):;, Garage Ps ----- SarrernsSink --_ \taitrsStn
Kit Sink Local'Waste a,_r;'izer Ice Chest
Disposal _ Bar Sick R'r': `.wire r Comm Ice Maker t`
Dish.ca>!,c Breakrm S.,... _ Int Grease Trap
— — ��
Flow ClassrmS•nk t w '---- Ni Grease Trap
Exam Sink -. :ap _.1— Eye Wash Stn
;-lose Bibb _ -----
Water i-icatm .._i. F Prep Sick _ Well Deduct Meter ,
Cias y.Elect .PwrVnt Floor S - -Fpm :a— Wtr Sewer Mtr
C'lothes';.;... — Itand S nk __ _, , nth \ti'tr Usage Mtr
Lndn- - ___4 Lab Sink —___-°- Basin Misc.Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use i Nature of Work
Size Material `______._- Tv e Conn. Type
1 San Ce er
Storm Sewer
Water Service
Received Time Oct. 30. 2012 ,10.46AM No. 1460