HomeMy WebLinkAbout0146546-Building CITY OF OSHKOSH No 146546
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2211 OREGON ST Owner COYOTE OF WISCONSIN LLC Create Date 05/09/2011
Designer Tom Karrels Contractor KOMOROWSKI DRYWALL LLC
Inspector Brian Noe
Category 223 - Alteration Offices, Banks, Professional Plan No Formal Rev
Type • Building 0 Sign 0 Canopy O 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 O Floating Slab 0 Pier O Other
O Concrete Block O Post O 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 "N" - Interior office alterations per plans. - No formal review, egress lighting required in new conference room. **check #2702
of Work
O.K. to isssue per BN
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuations 0 $12,000.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: arn c7 Date 06/27/2011 Final/O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1410280000
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 3952 APPLE LN OSHKOSH WI 54902 - 0000 Telephone Number
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 OJHKO.lH
Fax: (920) 236 -5084
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 (l
JOB ADDRESS ,P a / Ore vo — 5 47061 .L 1 AY, r r
OWNER
CONTRACTOR Komor0 ‘42.s k ! afywiI Lac RECEIVED
I am the: ❑ Owner OR a Contractor JUN 2 3 2011
USE CATEGORY DEPARTMENT OF
le Family ❑Du lex ❑Multi -Famil ❑Rental ❑Commercial Elndustrial COMMUNITY DEVELOPMENT
❑Sin
g y p y I NSPECTION SERVICES DIVISION
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa 4 Internal 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: 62-tilt vc s / ?u I VP /1 ey ttL4/(S
a_hc/ F,e- /ocde .%°0441 GZooe's /
Any work not included in this application is not permitted.
Value of the job $ 1Q 0 00- o o (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: 602,41v / m o rotiSKt
(Please print) /
Signature: op,
Date: 6/7-3l,/
3/02
gat).- 319- 5l5461