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Home My WebLink About0156854-Plumbing (laterals) � CITY OF OSHKOSH No 156854 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1120 ALGOMA BLVD Owner OSH AREA SCHL DIST READ SCHOOL Create Date 07l23/2013 Contractor R.G.SCHMITT, INC. Category 444-Commercial-Exterior Laterals Plan Inspector Jerry Fabisch Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 5 Deduct Meters 0 Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer 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 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 0 Water Softner 0 Hand Sink 0 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 0 Local Waste Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrm Sink Water Heater 0 Use/Nature COMM\Read school-18", 12"&6"storm sewer,roof drains,3 manholes and 2 catch basins. 18"connection to the of Work lateral is not in the R.O.W. Size Materiai Type # Conn.Type Sanitary Sewer Storm Sewer 18" Plastic Lateral 0 New Water Service Parcel Id# 0506490000 Valuation $63,285.00 Plan Approvai $0.00 Permit Fees $90.00 ❑ Permit Voided� Issued By Date 07/23/2013 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 eas nt, Cit strongly urges the permit applicant to contact the easement holder(s)and to ure any ces ap e starting such activity. Signature Date �f— Z3� 3 AgenUOwner Address W2680 MEADOW RD CAMPBELLSPORT WI 53010 -0000 Telephone Number 920-533-4757 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-Plumbing Permit Application Page 1 of 2 Division of Inspection Services 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 Fax (920) 236-5084 Phone (920) 236-5050 � PLUMBING PERMIT APPLICATION All information with * next to it must be provided. Incomplete applications will not be processed. 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 hereto 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. If vou are a contractor participating in the Permit Fee Account System and have adequate funds, tvne YES if vou want this processed through your account� ** Advisory- For applicable projects, an Electrical Installation Verification (EIV) 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 such is required, will not be processed for Permit Issuance and will be returned for completion. *�OB ADDRESS j� a,p AL(7oM� (l�,u� *OWNER l7 4�l:oS S c.��otr D�Srrc�C."r *CONTRACTOR (?,.� . sc,}{�M•�rT �rL *VAWE (o� Z 8� .,,, *USE CATEGORY O Single Family C�Duplex O Multi-Family O Rental�Commercial O Industrial Bathtub � Sump Pump �� Plaster Sink �� Roof Drain J� : Shower � San. � Scullery Sink �� Soda Disp � Sump/Pump Whirlpool �� Water Softener C� Service Sink � Coffee Mkr � : Lavatory � Standpipe Rec �� Shamp Sink � Site Drain C� Toilet � Garage FD � Surgeons �"� Waitrs Stn � Sink t__I Kit Sink �� Local Waste �� Sterilizer � Ice Chest �� Disposal C� Bar Sink � RPZ Valve � Comm Ice r-, Maker L_� Dishwasher �� Breakrm Sink �� Bidet �� Int Grease C� Trap http://www.ci.oshkosh.wi.us/Community_Development/Inspection_Services/Permit App_... 7/16/2013 City of Oshkosh-Inspection Services Division- Plumbing Permit Application Page 2 of 2 Floor Drain � Classrm Sink � Urinal �� Ext Grease �� ' Trap Hose Bibb � Exam Sink � Beer Tap � Eye Wash Stn �� :. Water Heater � F Prep Sink �� Dipper Well � Deduct Meter � � � �PWr Floor Sink � Drink Fntn C� Wtr Sewer Mtr � Gas Electric Vnt Clothes Wshr �� Hand Sink �� Wash Fntn �� Wtr Usage Mtr C� Lndry Tray C� Lab Sink �� Catch Basin �� Misc Fixtures � *USE NATURE OF WORK S'S oR�. S auv P1L d� 1Q a E>� t�C[�,� � ELECTRIC CONTRACTOR for ro'ects not requiring an EIV Form) �� Size Material Type # Conn. Type Sanitary � �� Sewer Sewer / '' f l.2°$ b°Q f-�DPE d�ut_ [� Water �'� �� _- � Service Submit Reset http://www.ci.oshkosh.wi.us/Community_Development/Inspection_Services/Permit App_... 7/16/2013