HomeMy WebLinkAbout2011-Building CITY OF OSHKOSH No 144673
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 01/11/2011
Designer Norman Herman Contractor WILVAR ENTERPRISES INC
Category 232 - Alteration Stores & Customer Service Plan Q2- 3208 -0111
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I
Zoning Class of Const: 2B Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished /Living Sq. Ft. Bedrooms Stories 1 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 No Height Permit Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature Space C -50 - Interior alterations for "Maurices" store.
of Work
O.K. to issue
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $160,000.00 Plan Approval $0.00 Permit Fee Paid $568.00 Park Dedication $0.00
Issued By: <jyYJ Date 01/18/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1329420000
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 se ure any ne sary approvals before starting such activity.
I have read an un , ersta I • e fo ed-information.
Signature A 54a, Date /
Agent/Owner
Addres PO BOX 363 DIXON IL 61021 - 0363 Telephone Number (815) 631 -7173
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 O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 I K JH
Fax: (920) 236 -5084
Building Permit Application ON THE WATFiz
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 1 ft9 SktIotc -eS 00k CSk dS1 31 S,WAvt,buAn, Si`. Su1 4e- C-
OWNER V 14- u(' -e (,pr(( w. 1 r\ `Pfc'.SQ ct' tti o_ 63-e. v
CONTRACTOR `1 6 +-- W 1 1414k
I am the: wner OR ❑ Contractor O
USE CATEGORY .......--c,
❑Single Family ❑Duplex ❑Multi - Family ❑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
❑ Other
For External Remodeling, Wrecking Permit, and Internal Remodeling please 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
httb://dnr.wimov/org/aw/wm/oublicationsianewpub/VVA651.odf.
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: bv' 1 4.1'0, 7 f)e a) axlt Cerr; dot, S{aal=-rcowl
0.„1 4 61 ;) k.-1 (s . 5 (( 5 4 fa- c o VCI +,5 , C1 w ir b4 d wr, -p , A-i-e--k .
0.11 v 1( v Pa. l ✓o- l'OA -( S l it 5iCt'� � 1 (aV/ f.2.t
CVSbvtto Y - �i 1 a `1 i�c f-,
P s ✓est/ r-.S # r i2�+�,vr, , !✓X(5"�+t.,� riVAC `�'t = ►- eLS 1.+15,44_11 ftck..1
dud qh c 3LV 5 ,
Any work not included in this application is not permitted.
Value of the ob $ L (a0 000 - 00 (Value for materials and labor is required to ensure consistency in accessing .l + ( q y g permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
1 cert 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: I:: ,r f SC , inh
(Please print)
Sign ature• w
Date: 12_1 2_0 I ( 0
3/02