HomeMy WebLinkAbout0147187-Building (sign)CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 4260 N V VESTFIEL D ST Owner ELIZ B D AViS CH ILDRENS HO ME
Designer Jim Slezak Contractor APP LETON SIGN COMPA INC
Inspector
Category 254 - Signs
Type ❑ Building 0 Sig 0 C anopy (D F ence ❑ Raze
Zoning R2 Class of Const:
Unfinished /Basement Sq. Ft. Rooms Height Ft.
Finished /Living Sq. Ft. Bedrooms Stories
Garage Sq. Ft. Baths
Foundation ® Poured Concrete C) Floating Slab Pier ❑ Other
0 Concrete Block 0 Post Treated Wood
Occupancy Permit Not Require Occupancy Fee $0.00 Flood Plain
Park Dedication Not Requ ired # Dwelling Units 0
Use /Nature Install non - illuminated wall sign on north elevation for "Davis Chiid Care Center ".
of Work
No 147187
Create Date 08111/2011
Plan
Size 26.4 sf
❑ Projection
Canopies
Signs 1
Height Permit Not Requi
# Structures 0
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,495. Plan Approval $0.00 Permit Fee Paid
Issued By: By:
❑ Permit Voided
$57.00 Park Dedication $0.00
Date 08/11/2011 Final /O.P. 00/00/0000
Parcel Id # 1608600000
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 appro Is efore starting such activity.
I have read and und�{id the a one inf `rmation.
Signature �. Date
Address 2400 HOLLY RD
Agent/Owner
NEENAH
WI 5495 - 1012 Telephone Number (920) 7 -1601
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
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Building Permit Application ON THE WATFR
If Vol( are a conkrac participating in the Permit Fee Account System and have adequale f unds. check here
if ou want this processed through your
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JOB ADDRESS y� e 1 + I, C'� -1 t t:" ok U
OWNER
CONTRACTOR PP La o
I am the: ❑ Owner OR ontractor
USE CATEGORY
[]Single Family ❑Duplex ❑Multi- Farnily []Rental 13 01 imercial []Industrial
Work being clone:
D Addition
❑ External Remodeling
❑ Handicap Ramp
aS'ign /Canopy /Awning
D Swimming Pool
Other
❑ Deck /Porch/1 "atio
❑ Fence /Fledge /Kennel
❑ Hot Tub /Spa
❑ Stair /Handrail
❑ Wrecking Permit
❑ Driveway /Parking
❑ Garage /Utility Structure
❑ Internal Remodeling
E Stove /Fireplace
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:l /dnr.wi..ciov /air /oompenf /asbestosi
For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at
htt : / /dnr.wi. ovlor awlwrN ublicationslane ub/WA651. f.
Additional information, such as plan submittal and approval, may be required before issuance.
located in the hallway, may be referenced to note if any additional information is necessary.
Full description of work being done:
Any work not included in this apPlication_is_not permitted.
Value of the job $ l t ct (Value for materials and labor is required to ensure conuisteney in accessing permit fees for all
appliczurts.)
PLEASE READ, SIGN. & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitled
information may require additional permits to be obtained. I aclaimi ledge and agree to these terms.
Name:
(Please print)
Signature:
Date: i I
Fliers,
3/02