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Home My WebLink About0153777 - Plumbing (new RPZ ) CITY OF OSHKOSH No 153777 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2351 STATE RD 44 Owner DAW BUILDINGS LLC Create Date 11/30/2012 Contractor GARTMAN MECHANICAL SERVICES Category 442-Commercial-Interior(New/Relocated Fixti Plan Inspector Jon Mueller 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 1 Coffee Maker Wtr Usage Mtrs Lavatory San Sump/Pump Flr/Wst 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 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 palm/Installation of new RPZ assembly per inspection non-compliance report. of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1329400700 Valuation $1,000.00 Plan Approval _60.00 Permit Fees $25.00 ❑ Permit Voided' Issued By ONV... 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 520 W SOUTH PARK AVE OSHKOSH WI 54902 -6470 Telephone Number 920-231-5530 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. Nov. 30. 2012 7: 58AM GMS INC No, 1847 P City of Oshkosh .1,26—Inspection Services Division POBox1130 Oshkosh,WI 54903-1130 . Phone:(920)236-5050 Pax:(920)236-5084 I ( p ��....--CCffON 1.NF��Lt/ eR • 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 S100.00 plus the nominal permit fee,which ever is greater. . OR . I ou c e a ... , ntrector „rti -,atrn: in th: Per 't Fee der, nt S tern and ,aye ode; to mud the k h:re • • -wamt his ocec z d tjrrvughyour ascnu'n't-P� - - . ---... **Advisory-For applicable projects,an Electrical Zustallation Vezification(ETV)form,sigaed 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 retamed for completion. Job Address, a35 I 5-6.-te `�'4 'Value(Including labor and materials) lao p c`' Date ///3 9)/,a Owner . &- 1 - • W Contractor - G wt S) I 1 ., ❑Single Family []Dup ex [Multi-Family ORental lEICamrpercial ['Industrial Number of Fixtures: . Bathtub Disposal Drink Fco Catch Basin Whirlpool Dishwasher Wait.St Wash Fin Lavatory Sump Pump Ice Chest urinal Toilet EjedadGtind Exam Sink •GatDraitt Res.Sink WaterScfbc- SeulrY Sink Soda Disp Bar Sink Local Waste - Hand Sink•. ..Coffee Maker Water Heater ClothesVVshr p Sink 0 Gas 0 Elect 0 PwrVnt Comm Ice Maker Shower Bidet Sery Sink Site Drain Sow rain Beer Tap lot GresSe Trap RoofDiain CIaasrw Sink Est Grease Trap SWadp Ree L ndry Tray Surgeons Sark R Leh Sink P2 Valve bye Wash Sin Brrekrro Sink Shsmp Sink Plaster Sink Wit-Sewer Mtrs Dip Well Flr/WRt Sid: Deduct Meters . tei-i Hose Bibs Misc, Wtr.Usage Mfrs ixtures Electric Contractor(for projects not requiring an ElV Form) 14 ft- •Use/Nature of Work (rs1,,1'1 G4-,�., c4 nA.,,,_, • 4Z c.1 S,,,.,‘l D,.r- x.- • -he nos.,, cc,,-•• kc•n(It Size Material Type # Comm.Typc rt-e°c'-lh Sanitary Sewer • Storm Sewer - , Water Service Received Time Nov. 30. 2012 7 : 54AM No. 1800 07/07