HomeMy WebLinkAbout0156245-Plumbing (interior) � CITY OF OSHKOSH No 156245
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER � ,S ' � �
Job Address 1810-1816 JACKSON ST Owner FAIR ACRES LLC/MAJERS LLC Create Date 06/18/2 1
Contractor JIM'S PLUMBING&HEATING INC Category 442-Commercial-Interior(New/Relocated Fixt� Plan
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Inspector Jon Mueller
Bathtub 0 Clothes Wshr 1 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 Sewe�Mtrs 0
Whiripool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve ___ 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Fir/Wst Sink 1 Bidet 0 Site Drain 1 Misc. p
Toilet 0 Water Softner 0 Hand Sink 1 Urinai 0 Wait.St. � 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 1 Local Waste 0 Sculry Sink 1 Drink Ftn 0 Int Grease Trap 1 :
Floor Drain 1 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 OMM(SPACE 1814)/Interior plumbing for Piva Hut.
of Work '
�"'"debit acct""
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1514970200
Valuation $20,000.00 Plan Approval $0.00 Permit Fees $72.00 ❑ Permit Voided ,
Issued By Date 06/18/2013
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 W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920-757-5258
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 , No 156245
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 1810-1816 JACKSON ST Owner FAIR ACRES LLC/MAJERS LLC Create Date 06/18/2013
Contractor JIM'S PLUMBING&HEATING INC Category 442-Commercial-Interior(New/Relocated Fixt� Plan
Inspector Jon Mueller
Bathtub 0 Clothes Wshr 1 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
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 1 Bidet 0 Site Drain 1 Misc. p
Toilet 0 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 1 Local Waste 0 Sculry Sink 1 Drink Ftn 0 Int Grease Trap 1
Floor Drain 1 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 COMM/Interior plumbing for Pizza Hut.
of Work
""debit acct""
i
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service '
Parcel Id#
1514970200
Valuation $20,000.00 Plan Approval __ $OyQO Permit Fees $72.00 ❑ Permit Voided I
��.
Issued By .��5-. Date O6/18/2013
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
Agent/Owner
Address W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920-757-5258
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.
06/17/2013 18:13 FA% 920 757 6482 JIM'S PLUMBING �j001/002 �
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ins��ect;::�; ��rvices Divisioti
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F�umbdng P�rmit Appl�cation ON THF WATFR --
I hercb}` :����i�.' Cor a pei'ittit to do and u�sr��ii t11�: followin��plumbin��=��r, .i�e preiuises hereinafter dzsc;-ibed,the work to conform ro ti�e
'� c:�n�.in Sta[e Pi:nnLing Codc, i:; r.i,�:.perform<�nce i�f � 1:?c;� ;�i' �,�tties hereto t3ci'ee l:0 1i1G�:re bolmd by said statutes.
s ���>"+i�z° on(sj and fee(sj can be brou �h( ;o City I iali, f�c�orn?(i� o�-i,�,:iied to Inspearion Ser�ic�;.PO I3ox 1128,Oshkosh �VI
;tc," !^8. Co�»menci.ng�ia�•k', i i�ou; pern�it(l�\��fll I�C:S41I ��� i�.es bei�ig doublecf or 5I00 Of) plu�the normal penj�it fee,���itich
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i �>cr .�.,r�: thrs pYOCL'SSCCI lJ7Y�)�r�i; ��r�rrr rtccr�trn[ � ` :
*"' Advisorv -�or appliea'�te projects, an�Iectrical ListatIation Verificatio��(E�') fonn, signed by the Electrical
Cc�rztractor or�orueow�aer(far instal3ations allo�ver� to be �erfornied by#l�e 1ion�eo«�tter) must be submitted
��c�ith t1�e permit apptication. ApplicatioY�s sn�u�itted withotZt an EI'V t��lic�t sucli is reqt�ired, will not be
rtr�ocessed for PetYnit Issuance and wi(I I�e reharned fa�-completion.
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:�i;u;ce� �-- 5an.S.s:np::'i:n;p �;t�is�n.`�ink
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I)iiir.v;,_:;e. I3rtsikr,r Sin6: r' �et �
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lio;e 13;_;; _ I.,tiam�i:-�; `_ B�_er �.P Eve VJash Stn
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Lr,c:r-, ' . __�— Lab�h;r , �
__.._. _,r�n i�asi�i �_ �iisc Fixmres
I?;lectric Cc�ntractor (foi• ��ro,�ectc not requij•ia�; �s�� L;IV Fc>rmj
f_�se / hatEiz�e of�Voi•t:
I Size .".L:te.rill "T,.�,e =; Cann. Type
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