HomeMy WebLinkAbout2010-Building CITY OF OSHKOSH No 143249
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 09/20/2010
Designer Contractor ISC CONTRACTING
Category 232 - Alteration Stores & Customer Service Plan 06- 3150 -0910
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished /Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature COMM (A130 - LEVI'S OUTLET STORE) / INTERIOR ALTERATIONS FOR NEW TENENT
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $200,000.00 11,�PPlaan�Approval $0.00 Permit Fee Paid $688.00 Park Dedication $0.00
Issued By: ') '� �' Date 09/21/2010 Final /O.P. 00 /00 /0000
1 Ei Permit Voided Parcel Id # 1329420000
In the performance of th work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshko has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit 1•plication within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure necessary approvals before starting such activity.
I have read and u derst. + d the afore mentioned information.
Signature , ( O� Date / /� / v
Agent/Owner
Address 1533 S KIN( •HIGHWAY BLVD ST LOUIS MO 63110 - 0000 Telephone Number (314) 581 -2053
To schedule inspecti • s please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footin: , Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless spe •� red otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspec on is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 O
Fax: (920) 236 -5084
Building Permit Application ON THE WATER
Ifyou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account fl
JOB ADDRESS 2 047 L'`bt rP1 S+ ii - )3 ; ✓`_ Y
OWNER �ev( L
CONTRACTOR S ( (millTre(U toY
I am the: ❑ Owner OR `J 0 Contractor
USE CATEGORY ����
❑Single Family ❑Duplex ❑Multi - Family ❑Rental [9'Commercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa L 1 Internal Remodeling
Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool Wrecking Permit
❑ Other
Additional information, such 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.
• Full description of work being done:
Any work not included in this application is not permitted.
Value of the job $ D J C. (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
1 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.
rr
Name: I (b r lk
(Please print)
Signature: 1g
Date: 7-0 0
3/02