HomeMy WebLinkAbout0157464-Plumbing (service sink for units 372 & 368) � CITY OF OSHKOSH :
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER -�q. �
Job Address 356-386 S KOELLER ST _ Owner LANDMARK LIMITED PARTNERSHIP III Create Date 08/29/2013
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 0 RPZ Valve 0 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
Fioor Drain 0 Bar Sink _ 0 Serv Sink 1 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 SERVICE SINK TO TO SERVE UNITS 372 8�368 -
of Work
'*debit acct""
J
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0608770000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided '
Issued By Date 08/29/2013
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 No 157464
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 356-386 S KOELLER ST Owner LANDMARK LIMITED PARTNERSHIP III Create Date 08/29/2013
Contractor D.R.HANSEN PLBG. Category 442-Commercial-Interior(New/Relocated Fixt� Pian
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 RP2 Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain p 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 p
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 1 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/UNIT 372 service sink
of Work
**debit acct'*
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0608770000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'I
Issued By ��/k., Date 08/29l2013
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
f nspecNon Services njvision ��
P O 13ox 1 I 30 �
Oshkosh,W154903-I 130
Phone:(920)236-5050
Fax:(920)236-SOR4 n �UV u
VJ I—N� I -I
�N THE ��nTF.R
Plumbing Permit Application
1 hcrcby apply for e permit to do and install the following plumbing on the premises hereinafter dcscribcd,Chc work to conform to the
Wisconsin Statc Plumbing Codc,in dte performancc of which all partics hereta agree io and are hound by said sttitutcs.
• Application(s)and fcc(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PUBox 1 128,Oshkosh Wi
54903-1128. Commcncing work without permit(s)will result in fee.4 being doubled or$100.00 plus the normal permit fcc,which
cvcr is grcatcr, ,
• OR
I�vou nre o co»t���Q�,qL�a�j�Q �� �(�e_Permil !`ee Acco!�nl Svstem and have adequa[e fund,�c check h�,N
iLvou want 1hi,s n�:�ar�eg! �yrouph voi�r acceunl �
*'"Advisory-For applicablc projccts, an Elcckrical Installation Vexificatavm(E��orm,signcd by thc Elec�rical
Contractar ot k�om,eowiaeir(�ox ioastallatzons allowed to be performcd by the homeowiaar)�oanst be submitted
wi�kh t�e penmit application. A�plications sabmittcd wi,thcmt au EZV wLe�snc�is rcquircd, will not be
processed for Pcrmit LSSaance and wx'1�-be�retw�ped�ox co�oaplet�ion. � ,
Job A,ddress� � VBIUe(1ncludi�R Inbor nnd mntcrials) �O� AaL��� � �
Owner �_ � Contractor � Cn�Q►'� /1J Y+�1� � 'G
❑Sin�gle k'amily ❑Dn�lcx ❑Malti-Faroily Rental �.(CommerciAl Industrial
Number�f,Fixtures:
9pchtub I Sump Pump , Pla.atcr 5ink Roof Droin
Shower ,_„�,,, 5on.Sump/Pump $CUllcry Sink Sodn Di
sP
���P�+� WMcr SoRcncr 9ervicc Sink
� Cu�'ee Mkr
Lavatory amrMpipe Rac Shemp Sink Qite f�in
Toilel crttraqc FD 3urp,cOns Sink Wairts gm
kir Sink Lowl Wastn Surili�v
1co Chc�[
• Disposal Bnr Cink RPZ Vplvc Cpmm Icc MnkCr
Diahrwshcr Brakrm Sink i�idcl �,� Tnt Grce.ac Tran
Floor Drain Classrm Slnk Urinsl Cxt Crcase Trap
' 1•losc Bibb Exam Sink Bcer Tap Cye Wa�h Stn
Wetcr 1-leater �Prep Sink �„_,__ DiPper Well Ocdutt MCtcr
I.]G:+;LI Fleet[1 F'wrVnf Floor 5ink Drink Fnln Wlr Scwa Mlr
Claha Wshr F[and Sink . Wesh Enrn •. Wlr l►.�ag�Mtr
Lridry TrsY L�h Sink Cmch gc�sin Miac Fixture.q �~^
Electric Contractor(�'or projeets not requi►ni�g an E�V Fo�-�n)
Use/Nature of Work
Sizc Material Type #, � Conn,xype '
Saoitary Scwer
$torm$cwcr
Watcr Scrvicc
06/U9