HomeMy WebLinkAbout0145891-Building (interior & roof alterations) e :;) CITY OF OSHKOSH No 145891
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1561 -1571 W SOUTH PARK AVE Owner CG EXPRESS LLC Create Date 05/09/2011
Designer Contractor UTSCHIG INC
Inspector Brian Noe
Category 232 - Alteration Stores & Customer Service Plan No Formal Rev
Type • Building 0 Sign 0 Canopy 0 Fence 0 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 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 interior and roofing alterations per plan.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $55,000.00 Plan Approval $0.00 Permit Fee Paid $253.00 Park Dedication $0.00
Issued By: Date 05/16/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1323070000
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 N1040 CRAFTSMEN DR GREENVILLE WI 54942 - 8080 Telephone Number 757 -0999
•
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
4 r1 ...) 111114
Inspection Services Division
P O fox 3130
Oshkosh, WI 54903 -1130
Phone: (920) 236-5050
Fax: (920) 236 -5084 Of } _.KO /I
Building Permit Application
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 Express Laundry, 1561-1571 S Park Ave, Oshkosh, WI 54904
OWNER CG Express LLC, 2500 State Rd 44, Oshkosh WI 54901
CONTRACTOR Utschig, N1040 Craftsman Drive, Greenville, WI 54942
I am the: 0 Owner OR Il Contractor
USE CATEGORY
DSingle Family DDuplex DMulti- Family DRental 1Commercial DIndustrial
Work being done:
D Addition ❑ Deck/Porch/Patio [1 Driveway/Parking
iM External Remodeling I :1 Fence /Hedge /Kennel CI Garage/Utility Structure
L Handicap Ramp ❑ Hot Tub /Spa 4 Internal Remodeling
L1 Sign/Canopy /Awning [1 Stair /Handrail ❑ Stove/Fireplace
El Swimming Pool Q Wrecking Permit
Other Roof Repair
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; htto : / /dnr.wi,gov /air /compenf /asbestos /.
For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at
http_ / /dnr.wi , g_ov /org /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: Refer to "Remodeling Building Items per Enclosed
drawing marked A1.1 dated April 18, 2011 `
MAY 13 2011
DEPARTMENT OF
LOMMUNITY DEVELOPMENT
Any work not included in this application is1h6tWiRiitiiilY ICES DIVISION
Value of the job $ 55.000.00 (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: Dean VanLaarhoven
(Please print)
Signature:?,.
Date: /