HomeMy WebLinkAbout0155950-Plumbing (interior) � CITY OF OSHKOSH No 155950
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2261-2299 WESTOWNE AVE Owner WESTOWNE SHOPPES LLC Create Date 06/04/2013
Contractor D.R.HANSEN PLBG. 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 1 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 FldWst Sink 1 Bidet 0 Site Drain 0 Misc. 0
Toilet 1 Water Softner 0 Hand Sink 1 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 1 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 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature Unit 2271 remodel for yougurt shop.
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1621650400
Valuation $2,500.00 Plan Approval $0.00 Permit Fees $54.00 ❑ Permit Voided I
Issued By � Date O6/04/2013
.
In the performance of this work, I agree to perForm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspcction Scrviccs Divisio� �
P O B�x 1130 �
Oshkosh,Wi 54903-1130
i'honc:(920)236-5050
F�c:(920)23G-SOR4 O �O
ON'IHF WATf:k
Plumbing Permit A,pplication
I hcrcby apply for a permit w do and instxell thc following pltnmbing on the prernises hereina�ter dcscribcd,the wrorlc to conform to the
Wiccoees,in$tate Plnmbing Code,in thc per('ormance ofwhich all parties hercto a�ree to and are bound by said statUtES,
• Aipplication(s)and fee(s)can be broaght to City Hall,Room 205 or mniled to lnspection Services,�0 Hox l 128,Oshkosh WT
54903-1128. Commencing wo�ic witl�out permit(�)will result in fees being doubled or 5100.00 plu5 d�e normal permit fee,which
cver is grcatcr.
OR
�vou are a��r��raclor narlicina[enQ in [he Pernril Fee Accou 1 Svsleni and have adeqLate tunds. cher�k here
it vou tvar��,t�l��s erocessed lhrori�h vour accounl I—I
'"�*Advisory-Far applicablc�ojcc�, a�t E1ecLciical Znstalla'bion Ve '�i�abio�a(E�form,signed by thc Electrical
Co�racto�r ar Homeowner(foz installations allowcd to be perFo�nmed by the�onaeownec)must be sobmitted
with t�c permit ap�licat�ion. A,�►�cat�io�qs sabmitted withonR an EIV when s�cb ic icqnit'ed,wi��t�ot be
proce�ed fvr Perraxt�ssnauce aa�d w�be tetamed.for completio,a. ,
Job Addregs��'l � �,•��51(�.�LQ� VA�U6(in�loding leborand mawiala).a�0 0 Date ,� �
�R'1AQT �
�G�{ 1VD�r.1�•�� Contractor �, k.lwa., �� ����,.
OSingic Family �bnplca ❑Multi-Family ❑�tea�tal �Cornm��cial �Indu.rtrial
Nn m tier of Fi�[tu res: ,
BetFrtub Sump Pmnp PlasiG 5ink Roof brain
Shower San.Smnp/Pump Saillcry Sink � Soda Dixp
Whidpcml Wntcr Soltencr Service Sink Cnffce M1cr
l,ovaWry J Startdpipc Rcc Shamp Sink 4itc Tarain
Toilal, ,,,�_ Oprll�iC Fp Surgoons Sink WaiuR 3m
Kit Sink Lacai W:�SpC S�,erilizcx Ico Chcnt
- ��� Rm Sink RFZ Valvc Comm Tcc Makcr
��a Brexkrm Sink Bidd Int Cm�eac Trsp
Flnpr l7rpiti Cla�.wm 5ink UrinAl p,M�y�T� �
Hoae i3ibb �:kntn Sink Bar T.�yl Eyo Wti�h Ctn
Watcr Hcercr F Prcp$ink � bip�xx Well dcduct Mctcr
i:i e3as u r�o�n rwrvm Flwx Sink _,L� 17rink C�etri Wtr S�,-wer Mtr
CfoH�W�hr Hand Qink _� . Wash Enla : Wtr Lfrmge Ma
.Gndry 7ray Lah Sink Cxtch Baain . Miec Fixt�mC,e
Elect�ic ContrACtor(�or pro'ccts not reqairing an E�V Form)
Use/Nature o�Work �t .-��. n ,, „�„��
St� MSbCr1AI T'ypc #_ _ Conn_Typc ,-
Sanitary Sewer
Storm Sewer
Water Scrvice
D6/U9