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Home My WebLink About2013-Plumbing (sump crock, heater, floor drain) CITY OF OSHKOSH No 154353 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2920 N MAIN ST Owner KHOF ACQUISITIONS INC Create Date 02/05/2013 Contractor KURT ZENTNER&SONS INC Category 440_Industrial-Interior Plan Inspector Jon Mueller 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 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 1 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. o Fixtures Kit Sink _ 0 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 1 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 1 Use/Nature IIND. Install sump crock,heater,floor drain for new machine. of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1519600600 Valuation _ $6,000.00 Plan Approval _ $0.00 Permit Fees _ $36.00 ❑ Permit Voided Date 02/05/2013 Issued By �V!'i 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 2860 OREGON ST OSHKOSH _ WI 54902 -7136 Telephone Number 235-1340 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. D6 .°N WbtiS ' ll ElH 'S 'qaj awi . pania°al (eilik- City of Oshkosh Inspection Services Division P O Box 1130 -1-1F.:--7 Oshkosh,WI 54903-1130 Phone:(920)236-5050 /-1��((� r� Fax:(920)236 5084 J oN r;iF+.vV..A✓TFR 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 I ou are • conIrract!r •articiratin_ in the Permit Fee A count S tern and have ade•uate unds the k here If you want this processed through your account **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. / Job Address 2fJD M "LA 5-� Value(Including labor and materials) 6�e�, - Date .2/$71.5 Owner ,;4 ,s Contractor 16,i7-.. e 99e 31o+ec iii -- ❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ,industrial Number of Fixtures: Sump Pump Plaster Sink Roof Drain Bathtub p Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage l b Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Breakrm Sink Bidet Int Grease Trap Dishwasher Ext Grease Trap Classrrn Sink Urinal Floor Drain Eye Wash Stn Exam Sink Beer Tap Hose Bibb Deduct Meter F Prep Sink Dipper Well Water Heater Wtr Sewer Mtr rj Gas(Elect C Pwrvnt Floor Sink Drink Dun Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an MV Form) 4/r Vie.., , -1- Use/Nature of Work..X-; . -// . Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Servicc 0 6/09