HomeMy WebLinkAbout0153936 - Plumbing (new bank) (a)I CITY OF OSHKOSH No 153936
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2251 OMRO RD Owner HORICON BANK Create Date 11/02/2012
Contractor ATOMIC PLUMBING Category 442-Commercial-Interior(New/Relocated Fixti Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 5 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet _ 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink _ 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 1 Local Waste 0 Scully Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 2 Bar Sink 0 Sery Sink 1 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 2 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1
Use/Nature COMM/HORICON STATE BANK/interior plumbing associated with the construction of a new bank/no exterior
of Work plumbing included with this permit
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1621550000
Valuation $78,500.00 Plan Approval $0.00 Permit Fees $105.00 ❑ Permit Voided]
Issued By <T . Date 12/13/2012
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 PO BOX 388 RIPON WI 54971 -0000 Telephone Number 748-5359
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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084 Of HK I J
r x Ti-±F W tTrR
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
54903-1128. 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 Pt
**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.
Job Address aaS) 8H Rb Value(Including labor and materials)A 7 85O • D 0 Date /a17/07
Owner ,N,R/Co ■J $A-MK Contractor "'ramie- PUHB/kk - 4-1-14-AT/i(J6 /A/C
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Commercial ❑Industrial
Number of Fixtures: �7
Bathtub Sump Pump Plaster Sink Roof Drain p(
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory _L_ 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 /7 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 J F Prep Sink Dipper Well Deduct Meter
❑Gas U Elect❑PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work Aka) Co,Us-ri2ucriood ,F-/AJSTALLAT7O/t) Of fA 2 E R/d.,2. A.a HL'/AJ &
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09
ATOMIC PLUMBING & HEATING INC.
1145 W. Fond du lac Street
PO Box 388
Ripon, WI 54971
Phone 920 748-2075 Fax 92o 748-9013
MP269149
e mo
To: City of Oshkosh Inspection Services
Attn: Jerry
From: Troy Weir, President,Atomic Plumbing&Heating Inc.
RECEIVED
Date: December 12, 2012 DEC 1 3 2012
Re: Horicon Bank project,2241 Omro Rd., Oshkosh,WI
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Jerry:
Enclosed is our check#19844 for$28.00 for the following fixtures:
Roof drains 3
Mop sink 1
Total 4
Thank you.
Troy Weir
President
1