HomeMy WebLinkAbout0159852-Plumbing (roof drains) E
/�"� CITY OF OSHKOSH No 159852
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 531 N MAIN ST Owner 531 N MAIN LLC Create Date 03/21/2014
Contractor D.R.HANSEN PLBG. Category 445-Commercial-Exterior Other Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 4 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.Sk p 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 Locat 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 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature �OMM/INSTALL ROOF DRAINS "debit acct �
of Work
I
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0700350100
Valuation $6,000.00 Plan Approval $0.00 Permit Fees $36.00 ❑ Permit Voided �
Issued By ��(�,� Date 03/21/2014
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
AgenbOwner
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 speci�ed 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
Inapection Serviccs�ivision �
P4Box1130 �
Oshkosh,WI 54903-L 130 '
Phone;(9z0)236-5050
Fax:(920)236-5084 �--�
ON THE WATER
Plumbing Permit /�pplication ;
1 herd�y apply for a permit t�do and install thc follow�ng pinmbing on thc premiscs h�reiaaftcr dcscribed,rhe work to confortn to the
Wisconsin Staie Pfumbing Code,in chC pet'fotmancc of which all perties hereto agt�x to and src bound by said stacutes.
� Applicetion(s)and fee(s)can bt btnnght to City Hall,Room 245 or mailed to inspection Services,�O Box 1128,Oshkosh Wt
54903-1128. Commeocing work without permit(s)will result in fecs bciag doubled or S 100.00 plus tht normal permit fee,which
ever is grtater.
OR �
II�o_u are a eonlrac[or a�i�g���g F�the ermil Fee Accounr Sv,�[���{��,�rve�rlLeauate funds. check�r� `
It vo� }�g,q,��his nr�c�ssc_d lhrough vour actQ�r�t (�
*�Advisory-Frnr a�pUcable projects, an Elcc�ical�tw,st'a�ation verification(EI�forra,si�ued bp the Elec�ical
Coatractor ar Srnmeowner(for installations ariowcd to be performed bp tbe homcowaex)mnst be sabmrtted
witi�tho perrtwit ap�lxcatao�a�. Applications snbmittcd wxWout aa EIV whca sacri is rcc�niured, w��otbe
�ocessed for Permit Tasuancc and w�bc xetnx�ed�com���etion. $ .
Job A,ddress ��� /� 1 I�,,f� Va�Ue(1nclucling I�bornnd 'ols) C��V�•v� Date 3 � C
A.yr�er b conrracro� I b �'t �C
❑Single Fam�ly [�Dnplex ❑Malti-Family ❑Rcntnl Commcrcial �7 dnstrisl
Nanaber of Fi�tures: .
8elhtub Sump Pump Plantcr 9ink RootDram �
Showor 5an,3ump/Pump Sculluy Siek Soda Dim
Whirlpoal Water SoRencr Servfce Sink CoRa Mkr
Laratory Slandpipe Rec Shamp Sink Site Dreln
Toilct Gnrnge FD Surpcons Sink Waitrs 31n
KltSink I,otal Wastc 3ccrillaer IccCh�st
. Disponel 8at Sink ttPZ Valve Comm Icc Makc
Dishaavlur ��+'m S� Bide1 Tnl(3rease Trep
Floor Drain Cln�erm Sink Urinal F_xt Grea�c Trap
Mo�c Bibb F��^S�� BcerT:►p eyc w:�,5m
Watcr Ffceta F Prep 3ink Dippor Well Deduct Mne
CJ(ias L'1 Elccl❑PwrVnt Fbor 3ink ihink Fam Wtr 5cwa Mtr
Clotha Wshr H�nd Sink ' _ WagM�'nrn �. Wlr Usa�e Mv
�Y r�Y I�b Sink , ' , Cntch Hasin , Mlsa Flxlvrcs
Elcctric Cootractor(�'or projects dot reqoi�ing an EIV Fornn)
Ure/Natn�re o�'Work
Siz� Material Type #_ _ Conn Type `
Sanitary Scwer
Storm Scwer
Water Scrvicc
Os/09