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o
OSHKOSH
ON THE WATER
Job Address 2195 STATE ROAD 21
CITY OF OSHKOSH No 124783
BUILDING PERMIT - APPLICATION AND RECORD
Owner POMMERENING DEVELOP CORP Create Date 05/15/2007
Designer
Contractor CITY OF OSHKOSH
Category
285 - Wrecking (Industrial & Commercial Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height Ft.
D Projection I
Finished/Living
Sq.Ft.
Bedrooms
Stories
Canopies
Garage
Sq. Ft.
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature Raze and Remove Former Ford dealership building. Portions of the foundations to be removed and portions to remain. Parking lot to be
of Work removed by land owner. * Water previously disconnect as part of streeet construction, Sanitary Sewer will be disconnected by Street
Dept. City owns building, not the land.
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuatio
$0.00 Penmit Fee Paid
$0.00 Park Dedication
$0.00
Issued By:
Date 05/15/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1621500100
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
Oshkosh
Address
WI 54901 - 0000 Telephone Number
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.