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HomeMy WebLinkAbout2011- Building C _CO)) CITY OF OSHKOSH No 144723 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1910 -1964 S KOELLER ST Owner MARLIN OSHKOSH II LLC Create Date 01/20/2011 Designer Contractor INNOVATIVE CONSTRUCTION SOLUTIONS INC Category 232 - Alteration Stores & Customer Service Plan R1- 3217 -0111 Type • Building Q Sign Q Canopy Q Fence Q 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 Q Pier 0 Other Q Concrete Block 0 Post Q Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures _ 0 Use /Nature Tenant space adress is 1924 S. Koeller for landlord work for GNC. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $23,000.00 Plan Approval $0.00 Permit Fee Paid $157.00 Park Dedication $0.00 Issued By: Date 01/24/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 1307440100 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 a - ssary approvals before starting such activity. I have read and derst- d the =fore mentioned information. Signature Date --2 LA - i I vim" Agent/Owner Address 12660 W fA TOL DR BROOKFIELD WI 53005 - 0000 Telephone Number 262 - 790 -1911 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 Fax: (920) 236 -5084 Of HKOJH 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 JOB ADDRESS Z LA S y t ` ,P .2 Y2- 0 OWNER 'ale V� p � p,e per"'— l 6'__S CONTRACTOR 1/`9 %AO-T \ V `P l (U 01-y1 0*--„ S Q ( 3` ` b t� j I am the: ❑ Owner OR ontractor USE CATEGORY ❑Single Family ❑Duplex DMulti-Family ❑Rentalercial ❑Industrial Work being done: ❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking ❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure ❑ Handicap Ramp ❑ Hot Tub /Spa ernal 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: 11r..'Z r_14-1(94._ va-\ T `e fu l _ l : T • A 1/,., • 1\ Any work not included in this application is not permitted. Value of the job $ f'jC,© . (70 (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: CC; • l e (Ple..e pri t) Signature: Date: •, "� __ t 3/02