HomeMy WebLinkAbout2013-Plumbing (remodel of building) CITY OF OSHKOSH No 154180
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 251 N SAWYER ST Owner RAJA PROPERTIES LLC Create Date 01/16/2013
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Contractor ABEL 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 1 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 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. _ 0
Toilet 1 Water Softner 0 Hand Sink 8 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 0 Local Waste _ 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 1 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature COMM/plumbing associated with the remodel of commercial building interior
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0608740000
Valuation $6,500.00 Plan Approval $0.00 Permit Fees $117.00 ❑ Permit Voided
Issued By ''- , Date 01/16/2013
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 /- 6_ ( 3
Agent/Owner
Address 1402 W.SOUTH PARK AVE. Oshkosh WI 54902 -0000 Telephone Number 920-296-0014
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-Plumbing Permit Application Page 1 of 2
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh,WI 54903-1130
t Fax (920)236-5084
. ), / Phone(920) 236-5050
PLUMBING PERMIT APPLICATION
All information with * next to it must be provided. Incomplete applications will not be processed.
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.
If you are a contractor participating in the Permit Fee Account System and have adeauate funds.type YES
if you want this processed through your account
Fee Status is Required
** 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 EIV when such is required,
will not be processed for Permit Issuance and will be returned for completion.
*30B ADDRESS 251 N Sawyer Street
*OWNER North Shore Eye Clinic
*CONTRACTOR Abel Plumbing, LLC
*VALUE 6,500.00
*USE CATEGORY
Single Family Duplex Multi-Family Rental
C¢ Commercial 5 Industrial
Bathtub Sump Pump Plaster Sink Roof Drain
Shower 1 San. Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory 1 Standpipe Rec Shamp Sink Site Drain
Toilet 1 Garage FD Surgeons Sink Waitrs Stn
....... .....
Kit Sink 1 Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain 1 Classrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
http://www.ci.oshkosh.wi.us/Community_Development/Inspection_Services/Permit App_... 1/15/2013
City of Oshkosh-Inspection Services Division-Plumbing Permit Application Page 2 of 2
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Water Heater F Prep Sink Dipper Well Deduct Meter
0 Gas 0 Electric Ell Pwr Vnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink 8 Wash Fntn Wtr Usage Mtr
........ ......
Lndry Tray Lab Sink Catch Basin Misc Fixtures
*USE / NATURE OF WORK
Connect to existing plumbing under ground and install new plumbing
for new fixtures.
ELECTRIC CONTRACTOR(for projects not requiring an EIV Form)
Size Material Type # Conn.Type
Sanitary 4__ pvc sch 40
Sewer
Storm
Sewer
Water 2 polybutylene
Service
Submit I Reset I
http://www.ci.oshkosh.wi.us/Community_Development/Inspection_Services/Permit App_... 1/15/2013