HomeMy WebLinkAbout0155545-Plumbing (39 hose bibbs) � CITY OF OSHKOSH No 155545
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1545 ARBORETUM DR Owner ASSOCIATION RIVER MILL CONDO Create Date 04/30/2013
Contractor D.R. HANSEN PLBG. Category 445-Commercial-Exterior Other 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 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec
Disposal 0 Gar Drein 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 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 39 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature OMM/installing new water piping and hose bibbs for boat docks/all hose bibbs wil be required to have proper cross
of Work connection protection installed on them along with the RP valve installation as require per code
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer ;
Water Service
Parcel Id#
1200030000
Valuation $8,000.00 Plan Approval $0.00 Permit Fees $351.00 ❑ Permit Voided 'j
Issued By �s�., Date 05/09/2013
a
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 woric
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
AgenUOwner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
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. .
. . .. ._,. .. . <<� r,:, 4���r. ;
tnapect[on Servlcns Division �
P 0 Box 1130
4shkosb, Rr�54903-1130 �
Phont:(9a0)236-505D
fax:(�20)236-5084
A1EN
� . Plumbing Permit Appijcation
I hereby apply for n permit tc do ond'ms�11 rhe fol(otving piunbing on the promises h�einaf�describcd.,the work ro caefortn ro�he
Wlsconsin Swtc Plumbing Code�in tho p�rfennance of whieh sli pertks heteto ap�e t,�a�,d are bound 6y said scanxes,
• Appliq►tion(s�and fee(a)cmn bc bcoughtto Ctty tin11,R,00m 20S or mafled m Ir�s ion Servi
54�03•I t 18. Commcn�ing work wfthotapermit(s)wil(rrrul�i�fees betr�g dovbl�r SI OO.00�plus thc nomoal permlt fo��which
�Vei 19 gTpltpt.
OR
1 rtlt Qtfna (n lhe P�ret/t�'ee,Ic���•++
f r � t ��F�'�'Ls�nd h-- °��yuala ��a��4��(L�L�
'�*Advisory-For e�licable pxojects�an Elacndeal�astalladc�n Verlfication
Contr,artor or 2�nmeownar(fox�I�atioos aI]oaed to be perfoz;medbr the homeo�vn�acr)�aus�t 8e sobautted � '
W�h thc�rm�it applic�t3o�� qpplic�ons enb�ftted withoat an�XYwheu svd�Ia reqa�red, wTl notbe
protessed for pexmi�Iscceaace ar►d wi�be xetarned fot ec�il�tion, �
Job Add�ress 'hp r (, �'
��____� Valae R��a;,��eord�a�w,� ���,(� Detc ' �
4�r�ner Cont�actor 1 � vy►��j .y� �
C;51nglc k'atnllY �lAuplox DiViult�-FAmi1�' ❑Rcntal ommercSal
� �nd triaf
Nunnb�r of�'ixtutes; �
6�thmb b�apoae: Urink Ftn
Whlrinool �^ D�hmsh^.t --,,.— Cnw'!+Easin .�
l.anr� • W�le�St ,,.� Wuh F1,� •
� .,.�_ SemD Pomp ia Chat " �—
Tolkl �}ector/�3f'Ind —�•�.. �Lhi�ml
--� £xem stMc e�tr,tka�a
Res.s�nK Wnrer Softna "^' . , •...._.—
9A�Sink �oUlry9fplc r•._. SodN�i�o
LocaJ We�e: HanG$ink
Nn(er Hayta C�A'x MeJar
t:Co0 J 61eCt J 7hMl' „V t Clothc�V�'Shr �Prop Slnk Cav�m.1C0 M�kG ,___�
Sh�wcr B� ---- San'Rtnk �� $ila l�m
F1oor Arein Bea 7�p lnc G►eeba 7h,p � RouufDrnin
�T� G^,e�s�n 3hk G�C+aac Tnp �..^ `�
- SorBdeoa SINc """ � �4�'� .
Cab Sink � -- RP.2.Vehc Eyo�Y�1�S�n
Breakrm Sfo! Stiamp Sink ~
PLis�cr cicA ---..• . . Wlr Saaar Mtrs
Sten'li2er � �iv Weu . —,_..� FhlWn S(nk �� `°
�„� NoscD� CxauaMefes •
M'Ne. `�-� ' W7(�agp klle •.��.
Fi.��
Electr�a ContrACtor(�for projeets not raqnq���n Ezv�'o��
Use/Natoro of V�ork
I, • Slzo Matcrial 'Iypc # Coan.Type
Sanh�ry Sower ;
►
; Sr�rm Sowor
i water Sesvlce . I
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