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Home My WebLink About2012-Plumbing (exterior laterals) C.D CITY OF OSHKOSH No 153473 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 112 VIOLA AVE Owner OSH AREA SCHL DIST OAKLAWN — Create Date 11/08/2012 Contractor SCOTT DENOBLE&SONS SEWER&WATER INI Category 444-Commercial-Exterior Laterals Plan M8-482-0912-P Inspector Jerry Fabisch Bathtub Clothes Wshr Classrm Sink Surgeons Sink Shower -- g _Roof Drain Deduct Meters Lndry Tray Exam Sink Sterilizer Whirl pool — - —_ Soda Disp Wtr Sewer Mtrs p Sump Pump F Prep Sink RPZ Valve Lavato -- _ Coffee Maker Wtr Usage Mtrs ry San S ump/Pump Flr/Wst Sink Bidet Site Drain Toilet Water Softner Fixtu Urinal Wait.St. Fixtures Hand Sink Kit Sink Standp Rec Lab Sink Beer Tap __ Ice Chest Disposal — Gar Drain Plaster Sink Dip Well Dishwasher --- p --__Comm Ice Maker Local Waste Sculry Sink Drink Ftn _ Int Grease Trap Floor Drain — Bar Sink Sery Sink Wash Ftn Hose Bibb Ext Grease Trap Breakrm Sink Shamp Sink Catch Basin 32 Eye Wash Statn Water Heater Use/Nature COMM/storm, sanitary sewer and water exterior laterals for new school er state a of Work shall follow state approved plans p approved plans/installation of piping l L Size Material Type # Conn.Type Sanitary Sewer 6" Plastic Lateral 1 New Storm Sewer 12" Concrete Lateral 2 New Water Service 6" Iron Lateral 1 New Parcel Id# 1514850000 Valuation $305,000.00 Ian pproval _ — $0.00 Permit Fees A..=.4.,--— $424.00 ❑ Permit Voided I Issued By _ 11 " Date 11/08/2012 In the performance of this work, I agree to perfor all work pursuant to rules governing the described construction. While the City of Os (osh has no authority to - orce easement restrictions of which it is not a party, if you perform the work describ-• in this per' it applicati., within : e. - rent,the City strongly urges the permit applicant to contact the ease 'ent h. •er(s)=n, to sic - any �:/ss. /approvals before starting such activity. Signs re /7- 7-d_ma Lt :"�� A - Date Agent/Owner Address 1910 VERLIN RD GREEN BAY WI 54311 -0000_ Telephone Number 920-469-2420, 920-4. 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. ep City of Oshkosh ` Inspection Services Division C- P OBox 1 130 iI�')V Oshkosh. WI 54903-1130 Phone:(920)236-5050 ,,� `� Fax:(920)236-5084 Of-KO /H ON THE W/TEP Plumbing Permit Application I hereby apply 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 54903-1 128. 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 n **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 ETV when such is required, will not be processed for Permit Issuance and will be returned for completion. /- n e� Job Address /1 2. �OL/4/4/1/E�,�cg. Value(Including labor and materials) ?U 7 �!j Date • f/'/ G�612- Owner IJAki� £f Ginf Contractor 7 G �e o L E I° USingle Family (Duplex ❑Multi-Family ['Rental %Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower _ San.Sump/Pump Scullery Sink Soda Disp Whirlpool _ Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet _ Garage FD Surgeons Sink Waitrs Stn Kit Sink _ Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher _ Breakrm Sink Bidet int Grease Trap Floor Drain _ Classrm Sink Urinal Ext Grease Trap Hose Bibb _ Exam Sink Beer Tap Eye Wash Stn Water Heater _ F Prep Sink Dipper Well Deduct Meter Gas .Elect PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr _ Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray _ Lab Sink Catch Basin 3Z. Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn.Type Sanitary Sewer 67 (/ VI:C ct-+, r N'eh) �� it Gai4C1'j( td- Storm Sewer Water Service & (I J - /---disc 1 /U e 06/09