HomeMy WebLinkAbout0153778 - Plumbing (new otter exhibit) CITY OF OSHKOSH No 153778
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 533 PRATT TRL Owner CITY OF OSHKOSH Create Date 11/30/2012
Contractor D.R. HANSEN PLBG. 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 Wtr Sewer Mtrs
Whirlpool Sump Pump - F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory 1 San Sump/Pump FIrNVst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait.St. Fixtures
Kit Sink Standp Rec - Lab Sink _ Beer Tap Ice Chest
Disposal _ Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Scuiry Sink Drink Ftn Int Grease Trap
Floor Drain 5 Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater 1
Use/Nature COMM/interior plumbing for new Otter Exhibit
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1110350000
Valuation $5,000.00 Plan Approval $0.00 Permit Fees $49.00 ❑ Permit Voided 1
Issued By Date 11/30/2012
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 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
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.
Iiy i_l Oshkosh
I;1:Teel:ion Services i)ivisio) ''i,
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•,'0.1s usn, WI a 4903-1 13()
"IIC:,IIt:': (9120)236-5050
'H; ,: !920) 236•5084 Oil- K07----1
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ON I WArn,
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Plumbing Permit Applications
.'r'•bY aRply rirr 2i permit to do Nrv.i ui:;t,ll.l the toilowing phirnbine uii isle promise hereina(tc l-cle:ic:ribeLi, the work tc, kAmiln to u.; r.i„•
W si:unsin Suite Plumbing.Code;in the performance 14.whi h all parties hereto:agree to and are bound by said statutes
r •';pplicatiou(s) and icc(s)can be brought to City Hall, Room 20;i or mailed to Inspection Services,P0 Box. I.128, us'ri,° It W
r.4 903-I l28, Commencing work without permit(s) will result in fees being doubled or ii 100.00 plus [be normal permit (et:. v,,,i1 0,
OR
• 1x'1., U!" . u 2 pYr!rrri.C'l t 1+!tr(!C'!1',!.U(site ell,111 f'rrerrs[ 1'•,1t-' /1ce'V,ul'1t .ti ySien; L_liG+ ii_a1't C eCekaIb• f!l/l�l�', C/7r}'I. iir! c
■ r. �I•Lt1l.rhi.' urgee sed through your r] j:ourir 1 ]
* Advisory - For applicable projects, an Electrical Installation Verification(E1V) foram, signed by the Electrical
ontractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
wit 1h the permit application. Applications submitted without an EL V'when such is required, will not be
processed for Permit Issuance and will be returned for completion.
1,>1; Address ) SOOo. ob , Date._-1.A.13 111
__5�3��a�_ Ird�,_ value (including Intx>r turd materials) ,. . .
i.)N4 rief'
t 0 h Contractor
:•>.irt2,it, .F-4/fl y Ei:t)ttpkex 7M.uiti-Famay [Jitental E 7emmercial Uindustri:al
Nunubet of Fixtures;
aln;iu, stmt Pwn
W Pump i'lasua Sink .....—._ Ktx�f ltrtlln
_ Sun.Snnvil'utnit
. ...... . ;wllcry Siuk _--.... Soda L)i�,
1,rlr.+7,„1 Water Suliencr' Service Sink Coffee Mira
•'01`'1` Stilinlpipe Rcc .....
. . .._. Shinnp Sint ..—_� Situ Drain
,sect
---- tars c FL) _._... . _ iurg un,Sink -__ Wtihs Sun
r.ii Slip, Local WAStc .... .. .lec alai
I iit:pusal J3tu Sink kPZ Valve C:omm Ice Make
lish�r /U.7 _.. Lirtukam Si ...__.. Liidet „_..,N Int(Il'cluc Trap
°•ivtn Drain ...5__ chrism sink Urinal
-_ Ext Grease Trap . ._. .
lose i.h b b E x a m Si.uk _. Beer l p kyc wtrsb Sul
•, oj,,:'1lcalet .. F Prep Sitik Oippur Well Deduct Metc,
-!‘.iti:,.;;.:h--et LIPwrVnt Floor Sink think,hnn
Wtr c sat vrl.
' Ioltic; W::(1r _....._ , Hang Sink Nash Ivrtn
. . ., ... WO 1;,n : rt!r
Ixb Sink
_... ....._ l::Jr,.h Llllc ,,, N115i+talus::;
.i:'.:'trit' (.'ontr.>,ctor (fur projects not requiring an iI:1V Forn't)
.c' - '•dat►ort! of Work
•
. - -
;iire Materin.I l.YPc corm. �_.._..._
•1•ypc
":.,LJII Liu'v SI9Wel
');lie-Ili Sewer
•1f•';lief .`.act vice
Received Time Nov. 30. 2012 8: 47AM No. 1804