HomeMy WebLinkAbout0147678-Building (parking lot)0 CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1900 S KO ELLER ST Owner DAYTON HUDSON CORP
Designer Larson Engineering Contractor AMERICAN PAVEMENT SOLUTIONS
Inspector Brian Noe
Category 256 - Parking Lots, Driveways
Plan
Type 0 Building C) Sign
Q Canopy
Fence
O Raze
Zoning _
Class of Const:
Size
UnfinishedfBasernent Sq, Ft.
Rooms
Height
Ft. ❑ Projection
FinishedlLiving Sq. Ft.
Bedrooms
Stories
Canopies
Garage Sq. Ft.
Baths
Signs
Foundation 10 Poured Concrete O Floating Slab
O Pier
O Other
Q Concrete Block 0 Post
0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain No Height Permit N Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
UselNature AFTER THE FACT PERMIT - Replacement of paving as per plans. All drainage to comply with approved stromwater plans. Accessbile
of Work parking spaces to be provided in compliance with applicable codes including accessible routes and signage etc.
I
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $145,000.00 Plan Approval $0.00 Permit Fee Paid $1,246.00 Park Dedication $0_00
Issued By: - jJ :. /, _ -- - Date 09/21/2011 Final/O.P. 00/0010000
❑ Permit - Voided' Parcel Id # 1307440105
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 ulo stgnd the ore �),entioneed information.
Signature
`� J�J —L l Date / !/
-��
Address PO BOX 13007
GREE BAY WI 54307 - 3007 Telephone Number 920 - 662 -9662
No 147678
Create Date 09/20/2011
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, W1 54903 -1130
Phone: (920) 236-5050
Fax: (920) 236 -5084
Building Permit Application
11 you are a contractor particip in the rernm r
if ou want this processed through your account El
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JOB ADDRESS
2p 2 k
OWNER ._ „��.�_ 011
I am the: L Owner OR %Contractor
USE CATEGORY
a Single Family ODuplex ❑Multi - Family ❑Rental Commercial ❑industrial
Work being done:
❑ Addition ❑ Deck /Porch/Patio'Driveway/Parking
❑ External Remodeling
❑ Handicap Ramp
❑ Sign/Canopy /Awning
❑ Swimming Pool
❑ Other
❑ Fence/Hedge/Kennel
❑ Hot Tub /Spa
❑ Stair/Handrail
❑ Wrecking Permit
❑ Garage/Utility Structure
❑ Internal Remodeling
❑ Stove/Fireplace
OF
Dr�ISIO
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: \k i C (1 --? TI r1C� k
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Co" lit kT
Any work not included in this application is not permitted.
Value of the job $ j CC`' U `
(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 acknoivledge and agree to these terms.
Name: -y I 1 � l (' � - r
cplease print)
Signature: �,,
Date: c ` a i -- f
U1HKC�1H
ON THE WATER
3/02