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Home My WebLink About0157069-Plumbing � CITY OF OSHKOSH No 157069 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 500 S OAKWOOD RD Owner MERCY MEDICAL CENTER OSH INC Create Date 07/15/2013 Contractor TWEET-GAROT MECHANICAL 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 1 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 1 San Sump/Pump 0 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fiutures 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 Eut 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/Mercy Medical/Remodeling the 2nd floor OB suite. This will be a three phase remodel with a new reception of Work and waiting area,new added exam rooms,added procedure room and updated ultrasound rooms. A new conference room will be added and a nurses work area. "'check#157403 Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0613660000 Valuation $39,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided� Issued By ��1�v` Date 08/06/2013 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 PO BOX 11767 GREEN BAY WI 54307 -1767 Telephone Number 920-498-0400 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 Inspection Services Division � P O Box 1 130 � Oshkosh,WI54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 Q.IHK�� ON TNF 4VATFR Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hzreto agree to and are bound by said statutes. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or�100.00 plus the normal permit fee,which ever is greater. � OR I,�votr are a contractor pt�rticipating in the Permit Fee Account Svstem and have adequate funds, chec� here if vou tivant this processed through vouj• account n **Advisory-For applicable projects, an Electrical Installation VeriFcation(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when sach is required, will not be processed for Permit Issuance and will be returned for completion. Job Address �� A�-�pD� VaIUC(Includina labor and materials) � ��i�� Date 7/�� Owner /Lt�G� /YI�iGA[— Contractor �"'�� ti°r ❑Single Family ❑Duplex ❑Nlulti-Family ❑Rental �ommercial ❑Industrial NumberofFixtures: �9.dv E�I�� Bathtub Sump Pump Plaster Sink Roof Drain Shower San.SumpiPump Scullery Sink Soda Disp Whirlpool Water Soft�ner Service Sink CoFfee Mkr Lavaton� � Standpi�Rec Shamp Sink Si[e Drain Toilet ( Garage FD Sur�eons Sink Waitrs Stn Kit Sink Local�Vaste Sterilizer Ice Chest Disp�sal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Brealo7n Sink Bidet lnt Grease Trap Floor Drain Classnn Sink Urinal Ext Grease Trap Hose Bibb Exam Sink � Beer'I'ap Eye Wash Stn Water Heater P Prep Sink Dipper Well Deduct hteter Gas_ Elcct:::PwrVnt Floor Sink Drink Fntn WU�Szwer Mu- Clothc,�s Wshr Hand Sink 1�'ash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin bfisc Fixtures C3� �•k ��.�s = ,�,.�,,�� F�� 30. — Electric Contractor (for projects not requit•ing an EIV Form) Use/Nature of�Vork_��.�. ��G �zl'k�� (-- Size Material Type # Comi.Type Sanitary Sewer Storm Sewer R'ater Service ,�{ Zoo 3g-7 ooiog