HomeMy WebLinkAbout0157796-Plumbing (interior) � CITY OF OSHKOSH No 157796
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 30 WISCONSIN ST Owner D 8�F INVESTMENTS OF OSHKOSH LLP Create Date 09/18/2013
Contractor D.R.HANSEN PLBG. Category 442-Commercial-Intenor(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
Whirlpooi 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 2 Bidet 0 Site Drain 3 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 4 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 2
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 1 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 1 Serv Sink 0 Wash Ftn 0 E�ct 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/remodel commercial kitchen for restaurant
of Work
'debit acct'*
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0103640000
Valuation $3,000.00 Plan Approval $0.00 Permit Fees $117.00 ❑ Permit Voided�
Issued By )Vw Date 09/18/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspcction Services Divisian �
P 0�vx 1 t30 �
Oshkosh,WI 54903-1130
PFanc:(920)236-5050
Fax:(920 ?.36-5084
) �_� ���_'
Plumbing Permit Application
1 hereby apply for a permit to do and instatl thc following plumbing on thc p�mise,�hercinaRcr dc.aariF+ed,the wrork to conform to the
Wisconsin Sd+te�'lumbing Codc,in the performancc of whieh all partier hereto agrce bo And are bound by 9aid statutes.
• Application(s)and 1`cc(s)cen be broaght to Ciity�Tall,Room 205 or rtt�ailed to inspection Serviees,PO$ox 1128,Oshkosh WT
54903-1128. Commeecing work without pumit(s)wi[I t�esult in�ees being doubled or 5100_00 plus thc not�mxl permit fec,whieh
evcr is grcatCr.
OR :
If vou are a contrQC4or artici�at�ng in the Pe_rmj�,�'se .Iccnun�_Svs��m grrd hav¢ adeaaate fu�d�. check h�ra
E,Lvou wa�t lhis_nroc s,,�,�[hrotig!► vour ac o�{�t n
'"*,A,dvi�sory�For applicabae�nrojec�, an Eleclrical bastai�a�ion vcri6cation(E��o�m,si�e�bp die Elec�bnical
Con,tractor or Homeowne�r(�ox ia�staIIations atlowed to bc perfarmcd by the homeowncr)mnst be sabmitted
with thc pcnmit app�cat�irna. A�►lications sa.bnaiitced withont an EN wheia snch is reqnucd,w�l�not be
pxocess�d for Pamit Issa�ce a�d witl bc rcturned�'ox cont�lc�ion. .
.�ob Address 3 D W�SCO►1S�► J� VaIQ�(Ineltedlnq Isborsad mat ' 9) � 3 dOD.� Date !J
Owner 4 �o • � Contractor C�1 �� � �-C-
�Singlc FAmlly ❑ lex ❑Molbi-Family [.�Rental �JCommcrcial �]� nsCrial
Namber of�iZtures: �
gathqdf Surttp pump PlnAtcr Sink Raof iham
8howcr 3nn,SwnplPump Scullery Sink Svda Disp
Whirlpod Watcr 3oftaecr 3ervico Sink Cofite Mh
IavAwry Strtndpipc Rx 5hamp 3ink Sitc Dmm ��,____
Toilct " Garngo FD Surgcau Sink Waitrs Stn
Kit Cink LOet�l W6ste —j—''� Sttai112�er fce Chad �
. pis�wsal �ar Sinlc ! kPZ Velve ' Comm Icc Makcr
DiahWmeha 8►advm 9ink Bidet ftri(�tsoc,e Trnp
Floor Drein Cleniam Sink Urirtal EaR ar�sc Trnp
Hosc Bibb Cv�m Sink 6ecrTxp Gye Wtuh 5�n
�Wata HuMex F Prcp 5ink Dip�v Wcll � Dcduol Metc
��+�����VM Flaor Sink �_ brink Fnm wtr SewQ httr
CIMha Wshr Miand Sink �_ . Wach En� �. � wtr Ux�go Mlr
�ryT�y Lab Shtk G�tch Bavin , Mlse FixM�e
Eleetric Contractor(�'or projectc not roquirin�an EN For�)
Use/Nature oi Work
Size Material Typ� �l_ _, Conn.Type -
Sanitary Sewer
Storm Scwer
Water Service
06/09