HomeMy WebLinkAbout2007-Building (pharmacy machine)
G
OSHKOSH
ON THE WATER
Job Address 351 S WASHBURN ST
CITY OF OSHKOSH
No
126352
BUILDING PERMIT - APPLICATION AND RECORD
Owner WALMART REAL ESTATE BUSINESS TRUST Create Date 08/20/2007
Designer
Contractor
OWNER
Category
232 - Alteration Stores & Customer Service
Plan Z2-2062-0807
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq. Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
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 Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units
o
# Structures
o
Use/Nature Store/ Installation of Automated Pharmacy Machine in Pharmacy Area as per plans submitted
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Issued By:
Plan Approval
$0.00 Permit Fee Paid
$118.00 Park Dedication
$0.00
Fees: Valuation
Date 08/20/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0616030000
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
Address
AgenUOwner
Oshkosh
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Building Permit Application
If vou are a contractor varticivatinJ! in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processed through vour account n
JOB ADDRESS Wal-Mart Store #1430 at 351 South Washburn St Oshkosh, WI 54904
OWNER Wal-Mart Real Estate Business Trust
CONTRACTOR
I am the:
IX'J Owner
OR 0 Contractor
USE CATEGORY
DSingle Family DDuplex DMulti-Family o Rental IXICommercial o Industrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Swimming Pool
o Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
o DecklPorchlPatio
o DrivewayIParking
o Fence/Hedge/Kennel
o Garage/Utility Structure
o Hot Tub/Spa
~ Internal Remodeling
o Stair/Handrail
o Stove/Fireplace
o VVrecking Permit
located in the hallway, may be referenced to note if any additional information is necessary.
.:. Full description of work being done: Automated Pharmacy Machine in Pharmacy area
inside Wal-Mart Store #1430
Anv work not included in this application is not permitted.
Value ofthe job $ 15,000
applicants. )
(Value for materials and labor is required to ensure consistency in accessing permit fees for all
PLEASE READ. SIGN. & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: ~y. ~h;!:.t
Signature: ~!1~lI4lUJd~
Date: ~ 6 7
RECEIVED
AUG 0 9 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
3/02