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HomeMy WebLinkAbout0146579-Building CITY OF OSHKOSH No 146579 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1680 -1698 S KOELLER ST Owner MARLIN KOELLER LLC Create Date 06/14/2011 Designer Contractor INLAND CONSTRUCTION Inspector Nicole Krahn Category 232 - Alteration Stores & Customer Service Plan Q1- 3282 -0511 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 Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use /Nature COMM/ Tenant Alteration for the Mattress Firm Store* This permit includes fixturing, sales counters, flooring and wall coverings for the of Work kenant alteration. State Approved plans were submitted under the previous portion of the project for the white box. HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $39,800.00 Plan Approval $0.00 Permit Fee Paid $208.00 Park Dedication $0.00 Issued By: Date 06/28/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 1307440403 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 10850 W PARK PLACE SUITE 970 MILWAUKEE WI 53224 - 0000 Telephone Number 414 - 359 -9500 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 OJHKOIH 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 n JOB ADDRESS /6 80 5 Xo e ae✓z S7` s <osy eel 53 5) 2 - OWNER CONTRACTOR ..-L. A✓/ .I O rcl C c ieK., I am the: ❑ Owner OR ,Contractor R E E 1 V E D USE CATEGORY JUN 2 3 2011 ❑Single Family ❑Duplex ❑Multi- Family [Mental glCommercial [Industrial DEPARTMENT OF COMMUNITY DEVELOPMENT Work being done: INSPECTION SERVICES DIVISION ❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking ❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure ❑ Handicap Ramp ❑ Hot Tub /Spa K 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: FLookehok N __,.? , ' 9- rAit�,,� (_) Zvi e e e oL`� Any work not included in this application is not permitted. Value of the job $ 36,600 (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: GL 1 --. S S L-'18 (Please print) Signature: c.fr..„ , �„2,00.-- Date: 6 -,c' 2 ©/j 3/02 F:443 tp57? City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 H Fax: (920) 236 -5084 Building Permit Application N THE WATE 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 fl JOB ADDRESS I (a1 S. KKF L LE R S 1, OWNER M A LL1K. KelF/ t LR L I C (£547) Zt -$too Co --r:4e tALog S1- LL CONTRACTOR 11J, t_f W6 (414) 27 6—q500 Qom7144T ,' ROM ( SSLL'.2, I am the: ❑ Owner OR 'E Contractor USE CATEGORY ❑Single Family ❑Duplex DMulti-Family ❑Rental 15Commercial ❑Industrial Work being done: ❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking ❑ External Remodeling ❑ Fence/Hedge /Kennel ❑ Garage/Utility Structure ❑ Handicap Ramp ❑ Hot Tub /Spa 'Internal Remodeling ❑ 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.gov /air /compenf /asbestos/. For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at http:// dnr. wi. gov /org /aw /wm /publications/anewpu b/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: L EV EL Z / 4TEe LT / EK(S i ( l-t6, wN LTE'Ke-jc Tel -l 4MT SPACE. 0\_7" f Any work not included in this application is not permitted. Value of the job $ (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. ''iP 6844.14 — eur Name: PctSD6c'rtu Oi - I Ae.C4tj3a z —( 7f�© (Please print) Signature: ;--�_- Date: —t3 —(l 3/02