HomeMy WebLinkAbout2011-Building CITY OF OSHKOSH No 144956
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1910 -1964 S KOELLER ST Owner MARLIN OSHKOSH II LLC Create Date 02/16/2011
Designer Contractor DAWSON CONSTRUCTION
Category 232 - Alteration Stores & Customer Service Plan R3- 3229 -0111
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: Size 2300
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 TENANT BULD OUT FOR GNC TENANT SPACE (LANDLORD WORK COVERED UNDER SEPARATE PERMIT). OCCUPANT LOAD
of Work IS LIMITED TO 60 OCCUPANTS / FOR SINGLE RESTROOM PER TOM KASPER DEPARTMENT OF COMMERCE DIRECTIVE
(LETTER ATTACHED TO DOCUMENTS).
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $63,882.00 Plan Approval $0.00 Permit Fee Paid $280.00 Park Dedication $0.00
Issued By: Date 02/22/2011 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 any necessary approvals .efore starting such activity.
I have read and un• rr and e a •re bone. informatio -
n.
Signature II" ; . _ i -1 j1 /.4_ �L( ..A.ida Date 2-2Z
Agent/Owner
Address 4827 BARTLETT RD WILLIAMSBURG MI 49690 - 0000 Telephone Number 231 - 392 -4243
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
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 CDf HKOJH
Building Permit Application ON THE WATER f
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 n
JOB ADDRESS /qty 5 l 'osj (Jf 1
OWNER -6,11 X 1 , 1 ` ' J i 4 t u £ I I 3d4 VTR ,'t' r P -91 , P4 / 5 Z 2. Z
CONTRACTOR P/44)&0 5T/t(O7 ✓l 7 f2 7 7 ted � O/ I /htit 4 6‘169.0
I am the: ❑ Owner OR Contractor . j j
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial Olndustrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp 0 Hot Tub /Spa 0Internal 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: Az; L A/aMh5 Pend ol2. / nsfiw-f
,4c *c CQ-d ne 71e. 41roo he /vi4 -
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Any � work not included in this application is not permitted.
Value of the job $ V J $O � (Value for materials and labor is required to ensure consistency in accessing 1 9 Y g permit fees for all
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:
(Please print)
Signature:
Date:
3/02