HomeMy WebLinkAbout0144867-Building CITY OF OSHKOSH No 144867
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1995 MENARD DR Owner MCDONALDS CORP Create Date 01/21/2011
Designer Haag Muller Inc Contractor MCKEE ASSOCIATES, INC
Category 232 - Alteration Stores & Customer Service Plan R2- 3219 -0111
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: 3B
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 Alterations per State approved plans to include dinning room, restrooms, cash booth, kitchen , and exterior altertaions. THIS PERMIT
of Work DOES NOT INCLUDE SITE WORK THAT WILL BE SEPARATELY PERMITTED WHEN PLANS ARE APPORVED BY ENGINEERING.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $492,000.00 Plan Approval $0.00 Permit Fee Paid $1,564.00 Park Dedication $0.00
Issued By:
Date 02/10/2011 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id # 1308500500
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 any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature
Date
Agent/Owner
Address 925 WATSON AVE MADISON WI 53713 - 3254 Telephone Number 608 - 271 -4900
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
PshBox 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 01 I O/H
Building Permit Application ON THE WATER I I
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this � p / r � ocessed through your account n
rI /
JOB ADDRESS kD04o jds 199s M_l N1 O
OWNER ft.`S
CONTRACTOR ,IWe CSSO(k: I a s _ G� �1 V e �Q�l SQ;I � Cu 1 5
I am the: ❑ Owner OR I2/Contractor - VQOO
USE CATEGORY
❑Single Family ❑Duplex ❑Multi- Family ❑Rental 6fommercial ❑IndustrialR E P V E D
Work b done: FEB - 7 2011
ei A dd i tion ❑ Deck/Porch/Patio ❑ Driveway/Parking
DEPARTMENT OF
[W6rtemal Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structur tOMMUNIIY DEVELOPMENT
❑ Handicap Ramp ❑ Hot Tub /Spa plfitemal RemodelingINSPECTION SERVICES DIVISION
❑ 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.uov /air /compenf /asbestos/.
For additional information on hazards present in buildings see the Pre Demolition Environmental Checklist at
http: / /dnr.wi.gov /ora/aw /wm /publications /anewpub/WA651. pdf.
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: di H l � Vim (Pwt ( / rPS troo M. (e wk.Od P 1
(Oa Qddl tior) part/611 'i rA&v t yM /, ethic/ >r 4 retikodP/
4, 31, wd,rk i wtcludc r 1to{P ditak c rru t,Latka , a, pavktvly CO/WA
rOS fis a.v',. Ai- thc . / t� d is j rnvtri +u-411 be flues*/ �f �NMr1iw>
Any work not included in this application is not permitted. a�- /P V
Value of the job $ r/9a (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.
toh - Ou.l,l 1 `/pct haUe Name: 9 led'e` s
(Please print)
etAy c u-QStZf iA
Signature:
/ecc rte- ate /99s' �
Date:
3/02
McKee Associates, Inc. IffffUlAh 0Y 4 o AIMINDITQE
925 Watson Ave.
Madison, WI 53713 -3254
Date 2/3/11 Job No 1 -10037
Phone(608) 271 -4900 Fax (608) 271 -4957 Attention Brian Noe
To
RE: McDonalds
City of Oshkosh/ Inspection Services Division 1995 Menard Dr
Oshkosh WI 54902
PO Box 1130
Oshkosh WI 54903 -1130
ph 920 - 236 -5050
WE ARE SENDING YOU ❑ Attached ['Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples p ❑Specifications
❑ Copy of letter ❑ Change Order ❑
Copies Date No. Description
permit application
check for the permit in the amount of $1564.00 X II/5
E
FEB - 7 2011
DFPARTMFNT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVisiON
THESE ARE TRANSMTITIED as checked below:
® For approval ❑ Approved as submitted
❑ Resubmit copies for approval
® For your use ❑ Approved as noted
❑ Submit copies for distribution
0 As requested ❑ Returned for corrections
❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
Remarks:
Brian, can you please call me and let me know when you get this so i know the permit is available to pick up.
McDonalds needs me to get the permit some of there paperwork before i can start. If I am missing something you
need please let me know as well. : 206 -199
PJ Thieren it
COPY TO de ! / 58 3 ��/3 ~ / r SIGNED Pj T k to r e vL
If enclosures are not as noted, please notify us at once.
6 ate 6