HomeMy WebLinkAbout0156498-Plumbing (RPZ valve) � CITY OF OSHKOSH No 156498
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 220 N WESTFIELD ST Owner CARMEL RESIDENCE INC Create Date 07/02/2013
Contractor KURT ZENTNER 8 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 1 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. � 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 COMM/Install watts 9D on boiler after removal of chemical feeder
of Work
Size Material Type # Conn.Type '
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0611430300
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By Date 07/02/2013
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 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.
C►ty of Oshkosh �
Inspection Services Division �
P O Box 1 l30
Oshkosh,'WI Sa943-1130 .
Phone:(920)236-SO50 O�{�( �...�
Fax:(920)236-5084 � ���
ou �ap.vA� a
Plumbing Permit Application ;
1 hereby apply for a pertnit to do and inst211 the following plumbing on the premiscs hereinafter described,the work to Confomt to the
W isconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes_
• Application(s)and fec(s)can be brought to City Hall,Room 205 or mailed to Tnspecdon Serviccs,p0 Box 1128,Oshkosh Wl
54903-1128. Commencing work without pe�mit(s)will result in fees being doubled or$100_00 plus the normal permit fce,which
evcr is grcater. ,
OR
1 ou re a on�ractor ertic' ati in I e Pe mi! Fee Accoun S st m an hav ade uate unds che k here
i ou want this roce sed lhrou h our acc unt
**A�visory-Fox appl�icable projects, aa Electrical Installation Verificadoa(E�fonm, signed by the Electrical
Contracror or�omeowner(for nastallations aIIowed with ni an F.�V wh ne nch is reqnired�,wt�o�tted
wxth the permi�t applicatiou. ApphcatYOns submitt
pzocessed foi Permit Issuance and wi�II be tetuaued fox completion..
, ` L, ,S�D�� ]Date � a /3
Job Address 7� /� w�Q �-�^�a�ue((ncludinglaborand msterials)
Owner ��CGr��i�s�°`'�.~ Contractor T� �K.� �a�•�r,a-.� Z S o�...
❑Single�'+amily ODuplex �Vlutti-Family �Rental ❑Comtnercial ❑Industrial
Number of Fiuctures:
Sum Pum Plester Sink Roof Dtain
Ba►htub p P Soda D�sp
Sho.,rer San,SumplPump Scullery Sink
Whirlpool Watet Softenet
Serviae Sink Coffee Mkr
Standpipe Rec Shamp Sink Site brain
Laracory Wsip's Str�
Toilet Garage FD Surgeons Sink
Local Wasre Sterilizec Ice Ches�
Ki[Sink � Comin Ice MBker
Bar Sink RPZ Valve�,�
��SP�� Tn[Groese Trap
Bceakrtn Sink Bidet
Dishwasher �ct Grease TraP
�I�srm Sink Urinal
Floorbrain �rr�p Eye Wash Stn
ExOm$�nk
Nose Bibb b;pper Well Deducc Meeer
Water Heacer F Arep Sink �
����� WV Sewer Mtr
❑Gns 0 Eleci 0 PwrVn[ Ftoor Sink
Clothes Wshr �-land Sink
Wash Fnm Wc i)sage Mtr
Lndry TfBy
Lab Sink Carch Basin Misc Fixtiures
Electric Contractor(fur projects aot requiriag an EIV Form) ,
r'�.H d,�,e 6�i�' ,�
Use/Natare of Work � m n �O��
Size Materia� Type # Conn Type
Sanitary Sewer
S�o�n Sewer
Water 5ervice
06/09