HomeMy WebLinkAbout0157429-Plumbing (catch basin & 2 site drains) � CITY OF OSHKOSH No 157429
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 700-710 W MURDOCK AVE Owner JAMES H LANG PROPERTIES INC Create Date 08/26/2013
Contractor D.R.HANSEN PLBG. Category 445-Commercial-Exterior Other 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
Whiripool 0 Sump Pump
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 2 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. Q 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 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 1 Eye Wash Statn 0
Water Heater 0
Use/Nature COMM/storm catch basin and(2)site drains on existing lateral
of Work
'debit acct*'
L
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel id#
1218840000
Valuation $6,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'�
Issued By �[�,� Date 08/26/2013
In the performance of this work, I agree to perform ali work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkoah
lnspecticm Services Division �
�'013ox 1130 �
Oshkosh,WI 54903-1 I30
Phone:(920)236-5050 � ��� �
F�c:(920)Z36-508�i
ON THE W�TFR
Piumbing Permit A,pplication
T h�rcby apply for a permit to do and inscall the following plumbing oe tne premis�.�hereinaRer described,the work to conf�orm to the
Wiscoosin$cace Plumbing Code,in thc pertvrnnance of which all p�rties her�to a�rce to and aro bound by said s�hrtes.
• Appiieation(s)and fee(s)can be brought to City Hall,Room 2Q5 or meiled to Inspection Services,PO Box 1128,Osbkosh Wl
54903-1.128. Commencing work w"tthottt permit(s)will resalt in fces bein�doubled or$100.00 plus the tlormAl permit fee,which
ever is greater.
OR
If vou qr �Qntraclor a�icipaiin2 in !he P rmit Fee AccoLnl Svstem and have adeoua[e funds theck hei•e
if vou w{�►Lt, thi�proce.csed ihrouph v_o_ur ac o nt
**Advisor}r-Fox a�►UicabXe projccts,an Eicc�cal bast�laat�io�Ver'�ica�ion(Ei�form,sit�ned by t�e�ecCrical
Co�4'actox o��omcqwacr(for installatio�as�lowed to bc perfarmcd by the Lom�eownar)mnst be snbiar�tted .
witb thc pcm�it application. A.ppliratians snbmittcd witho�an EN wben sad��is�nix'ed,w�`q not bc
pt'oc�.ccd for Pcnmit Issnance an w� xetarned far complctiaa. .
.Tob Address ���� U� vGlWalue(r�i�d��g�nor�d�c�;�,ls) �KJ�, v`-' Date� �� �
Owner L�,-�-�— Contractor �� 1` Ci'� ✓1 U�'►� b �..L-C.
❑Single FAmilp � LJAnplex ❑Mniti-�Family ORentnl �Comanerc;sl []1'u cri81
Namber of Fixtures: �
BatMub Sump 1't+n�p PlaPter Smk Roofprtiin
Show,er 9m+,SumNPumP ,�____, Scullery Sink Sodo Disp
VVhirlpod Wata SoRencr Servicc Sink Coi1'ee Mkr T
Lovatory Standpipc Rcc Shamp Sirdc Sitc Droim �,._
Toilcl (3tlrAqo F7) Surgcons 5ink WeittS Sln
Klt Sink Local War� 3tC����er fcc Chaat
. Aigpaypl Bar Sink RP7,Vnlva Comm Tcc Maka
p�aMwRh� Ortakrm Sink iiidd _�, Inl QrcA,e Trnp
Floor Dr,in Claa�m Sink Utinal Fxt Greave Trap
HosoHibb Fxam Sink BccrTep Fyc WASh Sm
Wnter HeAtcr F Prep 5ink ..,.,_...^ DiPqcr Wdl Dednef Metcr
C1 Gaa Il Elcct fl Pwrvrrc F{aor Siak Dri�tk FMn Wlr SeV��er Mt�
Cbtlx�Wshr Hand Sink ' . VJnsb F.mn •. Wtr Us?6o Mtr
�rY T�Y Iah Sink Cqlch Acisin � Misc pixturac
Electric Coatractor(�'ox p�ojects not r�niring an EIV Form)
Use/Natare oi Work I�,r� f(l `,
Size Matcrial Typc #_ _ Cotte.�'ype :'
Snnitary Scwcr
5torm Scwcr
Water Service
06/09