HomeMy WebLinkAbout0143772-Building (flood damage) g ) CITY OF OSHKOSH No 143772
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 300 S KOELLER ST Owner LANDMARK LIMITED PARTNERSHIP III Create Date 10/22/2010
Designer Contractor R J ALBRIGHT INC.
Category * 140 - Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const:
Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. El 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature COMM/ SUITE E BEHIND BENVENUTO'S/ LATE PERMIT/ Flood damage repairs *Repairing damaged drywall from the flooding.
of Work Removing and replacing the lower 2' of drywall and insulation. This tenant space is vacant at this time and a seperate permit will be
required for any remodeling work. The late fees on this project have been waived and the contractor was warned that future jobs that are
started without permits will be subjected to late fees and /or citations.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00
Issued By: kV"
Date 10/22/2010 Final/O.P. 00/00/0000
11 Permit Voided Parcel Id # 0608770000
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 .ny n- cessary ap• -, val fore starting such activity.
I have read and und- st - n; t - afore • • r, .�, ,. atinn
Agent/Owner
Address 5711 GREEN VALLEY RD OSHKOSH WI 54904 - 9700 Telephone Number 231 -8635
* 140 - Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre- Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
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
P Boh 1
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 01HKOJH
Building Permit Application ON THE WATER
If you 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_ 5: K g r (_,\ i 1 tr (-
OWNER esn6V 7cflctk2AJ
CONTRACTOR � ` J. ld c / \J C
I am the: ❑ Owner OR D- Contractor
USE CATEGORY �,/
❑Single Family ❑Duplex ❑Multi - Family O'Rental ❑Commercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
fr&ther 44t2 VI Os-4 L , 0,4 4 066-9 Q2Yco i-1..—
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: 0ilo> CA 01/45c. Q I'loL 9 4 W fr
D lit yw _) (t2 i W) t t`1S,, L A i t eed e 6 f 6U cc z' 6 I ST r es G 100((-,1 '1-Lt_
4 I N sUt_A Ti € P1 /\C (T - ct qo' U f uy y — ti CAPPe 1 tki G
Any work not included in this application is not permitted.
Value of the job $ T 5 VA (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
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: Jd W t 6 t
OorvQ . • print)
L , - kjik -SL- Signature: ttl
Date:. 22 201
3/02