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Home My WebLink About0153962 - Plumbing (remodel building) CITY OF OSHKOSH No 153962 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3650 JACKSON ST Owner BERGSTROM OLDS-CADI GMC TK-NISS INC Create Date 12/17/2012 Contractor OGDEN 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 0 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 1 Coffee Maker 1 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 1 Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures Kit Sink 1 Standp Rec 1 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 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 0 Bar Sink 1 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 2 Breakrm Sink 1 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 1 soap dispenser Use/Nature 'COMM/interior plumbing associated with the interior remodel of building of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1519605800 Valuation $41,800.00 Plan Approval $0.00 Permit Fees $70.00 ❑ Permit Voided j Issued By tr-- Date 12/17/2012 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 689 NEENAH WI 54957 -0689 Telephone Number 725-8985 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. 12/17/2012 10:32 9207258984 OGDEN PLUMBING PAGE 02/02 City of Oshkosh Inspection Services Division • PO Box 1130 Oshkosh,WI 54903-1130 Phone; (920)236-5050 Fax: (920)236-5084 1-11 I� Plumbing Permit Application ON THr WATER 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 I ou ar- a contract r 'art'ci.atinf in the P-rinit _ee Account S stein and ha e ade•uate ands check here 1 o want this •rocessed thr• -h our accoun of ---- "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 ElY when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address 366' ) eec.4 cc,. S t Value(Including labor and materials) Y/ eDO Owner Beep S��y»-x — Date/02 �/7—1.2 Contractor (2frileoc) i0/b [,]Single Family []Duplex QMulti-Family ['Rental XrCommercial ❑,industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower Sart Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mk I Lavatory Standpipe Rec _ 1_ Shrimp Sink Site Drain Toilet Kit Sink Garage� Surgeons Sink Waits Stn Local Waste Sterilizer Ice Chest Disp°sal Bar Sink RPZ Valve — Comm Ice Maker Dishwasher Breaktm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Eta Grease Trap Hose Bibb a Exam Sink Beer Tap Eye Wash Stn Water Heater /- F Prep Sink Dipper Well Deduct Meter )(Gas 0 Elect 0 PWrVnt Floor Sink Drink Ran Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Lndry Tray Wtr Usage Mt Lab Sink Catch Basin Misc Fixtures ,p Clectric Contractor(for projects not requiring an EIV Form) Ise/Nature of Work • Size Material Type i Conn.Typo Sanitary Sewer Storm Sewer Water Service Received Time Dec. 17. 2012 10: 32AM No. 1938 06/09