HomeMy WebLinkAbout0155666-Plumbing (2 RPZ valves) � CITY OF OSHKOSH No 155666
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2450 BADGER AVE Owner CURWOOD INC Create Date 05/16/2013
Contractor KURT ZENTNER&SONS INC Category 442-Commercial-Interior(New/Relocated Fixt� 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 2 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 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 0 Bar Sink 0 Serv 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 Install 1 RPZ for Ink room and 1 RPZ for Anilox washer.
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id!�
1325000000
Valuation $1,300.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �L►� Date 05/16/2013
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 sta�ting such activity.
Signature Date
AgenUOwner
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 specifed 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 �
lnspecUOn ServicG,Dlvlsion
P 0 Box 1130 �
Oshkosh,WI 54903-1130
phone:(920)236-5050
Fax:(920)236-5084 K H
ON TMF WA1 E
Plumbing Permit Application
(hereby apply for a permit to do and install the following plumbing on tt►e premises hereinaRer described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which a11 parties hereto agree to and are bound by s8id statutes. .
• Applicaaon(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshlcosh 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
1 ou are c n[ractor ar! i atirr in the ermid F e Ac unt S sfem and have ade �e unds c ek here
i ou wanc �his roces ed throu h o r account
**Advisory-Fox applicable pro,�ects, an Elect�dcal Installation Verification(EI�form, sxgaed by the Electrieal
Contrattor or Homeowner(for installatious allowed to be pe�omied by the homeowutr)mnst be snbnutted
with the permit applicat�iion. Applicatio�ts sabmitted wiRhont an EIV wben snch is reqnired,wi11 mot be
processed for Permit Issnance and w�l be retarned fox coaipletion.
rob Address2 Value p��i�a�►,g iaoo��a me�r�ais>�S�� _ riate 6""/ /,�
Owner Contractor ��i'" ��rs�f��+e—
❑Single Family []Duplex �]Multi-Family ❑Rental ❑Comrnercial ❑Yndustria!
Number of Fixtures:
8a�hwb Sump Pump Plaster Sink Roof Thain
Shower San.Sump/Pump Scullery Sink Soda bisp
Whirlpool Water 5ofteneC Sezvice Sink Co1Tee Mkr
Lavacory SmnApipe Rec Shemp Sink Sile Drain
Toilee Carage FD Surgeons Sink Waics 5m
Kit Sink Locat 11Vasce Sterilrzer Ice Ches[
Disposel Bar Sink RPZ vnlve ,�._ Comm Ice Maker
Dishwaslles 6reakrm Sink Bidec Int Qrease Trap
�loor Drain Classrm Sink Urinel �xc Gcease Trep
Hose BibD �em Sink BeerTap Eye Wash Sm
wa�er Heamr F p►�P S� Dipper Well Deduct Macer
0 Cru 0 Elect�PwrVn� F�po�5�� Drink Fnm Wtr Sewer Mtr
Clothee wshr HanC Sink Wash Fnm Wa Usage Mtr
Lndry Tray I,ab Sink Catch Besin Misc Fixwres
Electric Contractor(for projects not reyuiring an EY`V'Form) :
YJse/Nature of Work �i���h�� � s'�- �b� �-� �' �°o h7
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Secvia
06/09
City of Oshkosh �
lnspection Services Division .
P O Box 1130 �
Oshkosh,WI 54903-1130
Phonc:(9Z0)236-5050
Fax:(920)236-5084 �� �
ov r�i=•�vn'�Ea
Plumbing Permit Application
I hereby apply for a permit to do and instail the following plumbing on thc prealises hereinafter described,the work to conform to thc
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are boond by said statutcs.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,p0$ox 1128,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fecs being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
Ifvou are a con�ractor partfcipating in [he P�rmit Fee Accour�l Svstem and have adequate funds. check her�_
ff vou wan� rhis nro ec ssed throu h vo r account �'
**Advisory-�'ox'applicable proyerts, aa Electrical Ynstallation Veri�iica�ion(EI�foun, signed by the Electrical
Contxactor or Homeowmer(for installatious allowed to be�ee�c'�ormed by the�omeowner)mnst be sabmitted
with the pernut agplicatioa. Applicatxo�s snbmitted withont an ETV when snch�.s Yeqnired,Wi11 not be
�rocessed for Pcxxnit Issaance and will be retuined for completion.
rob Address���.� �� .4r�s— Value(r���a�„g►a�or�a►z,a��a�9) �►�� � Date ,S" ��' �
Owner ���•�ar.� �r�� Contractor �i�/�T� 2��'!�– ��f��s
OSiagle�'amily ❑Duplex OMulti-k'amily QXtental ❑Commercial �Fndustrial
Number ofFixtures:
Bad�cub Sump Pump plas[er Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water SoRener Servtce Sink Coffoe Mkt
Lavatary Standpipe Rec Shamp Siek Site brain
7oilu Crarage FD Surgeons Sink Waius Stn
Ki�Sink Loca1 VNsste Sterilizer Ice Chesc
Dispo�l Bar Sink RPZ Valvo �_ Co�mn Ice Makar
�i�w�r Breakmt Sink Bidet !nt Grease Trap
Floor Drein Classrm Sink Urinal Fxe Gresse Tran ' •
Hose 8ibb ��Si� ���Tap Eye Wash Stn
Wsxr Heaur F Prep Sink bipper Well Deduc[Metsr
�(�as 0 Elect p Pwrvrn l�loor S ink Drink Fntn W�Sewer Mv
Clothes Wsh� Hand Sink Wash Fntr� W7 UsaBe Mtr
Lndry Tr9y Y.Bb Sink Catch gasin Mix Fixnaes
Etectric Contractor(for projects r►ot reqairing an EIV Form)
Use/Nature of Work ���`1 �P �1�G�- -�v� ���� x � `�f�
Size Material Type # Conn.Type
5aniiary Sewer
Storm Sewer
Water Scrvice
06/09