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o
OSHKOSH
ON THE WATER
Job Address 500-550 S KOELLER ST
CITY OF OSHKOSH No 126765
BUILDING PERMIT - APPLICATION AND RECORD
Owner RIVER VALLEY ONE LLC Create Date 09/13/2007
Designer
Contractor DELSMAN CONSTRUCTION SERVICES LLC
Category
223 - Alteration Offices, Banks, Professional Plan 25-2083-0807
Zoning
. Building
o Sign
o Canopy
o Fence
o Raze
Type
Class of Const:
Size 1200
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Baths
Sign~
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 540 S Koeller St/1200 sq. ft. Tenant space build out for "Sport Clips Hair Cuts", as per approved plans
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Val
$55,000.00 Plan Approval
$0.00 Permit Fee Paid
$253.00 Park Dedication
Issued By:
$0.00
Date 09/13/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 0611620000
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 p it plication ithi an easement, the City str urges the permit applicant to contact the easement
holder(s) and to s cur ny n e pprovals before sta' such activity. ~_ .. ...
Signature Date 'l .
l
Address REEDSVILLE WI 54230 - 0000 Telephone Number 863-1484
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
Rc. Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Building Permit Application
I ou are a contractor artici aNn in the Permit Fee Account S stem and
if yOU want this processed throuzh your account n
~
OfHKOfH
ON THE WATER
JOB ADDRESS 90 ScrJ<. U!e~ ~~---, SEP 12 2007
.
DC/. (~ f j fzt. c./ <2 . C -z.. -R ct.. DEPARTMENT OF
OWNER COMMUNITY DEVElOPMENT
!e(SI'VlQ.""l- CO , 5-e < INSPECTEN SERVICES DIVISION
CONTRACTOR ~ I'G-U/ CL-J L C
I am the: DOwner OR ~Contractor ~e; - 2.0CCO - ClefS)
1l
USE CATEGORY
DSingle Family DDuplex DMulti-Family DRental ~ortrmercial DIndustrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy! Awning
o DeckIPorchlPatio
o FencelHedgelKennel
o Hot Tub!Spa
o StairlHandrail
o DrivewayIParking
o Garage/Utility Structure
)tlnternal Remodeling
o StovelFireplace
o Swimming Pool 0 Wrecking Permit
X Other 7:e IA rl..;;f j3 iA ~lj () J- ,
Additional information, s~ch as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
JZf -f~~a."'- +- 13 ~ li d ... 1- -fi-VL
~
.:. Full description of work being done: ;;;: I.J-Do
. SIJDtd-O/l(J) ~l~ eJr ,
I v
Value of the job $
applicants.)
Anv work not included in this application is not permitted.
~5--: Db D (Value for materials and labor is required to ensure consistency in accessing permit fees for all
I
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: ~. S~ -oe{''k<lr-
t (please print)
Signature: . ~ !J / ~
Date: f 9//2/ cJ?
I (
3/02