HomeMy WebLinkAbout0151397 - building (remove cabinet) CITY OF OSHKOSH No 151397
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1870 S KOELLER ST Owner DIANA HOPPER SURVIVING SPOUSES TRUST Create Date 07/25/2012
Designer Jeff Liddle Contractor FLYWAY INC
Inspector Nicole Krahn
Category 254-Signs Plan
Type 0 Building • Sign 0 Canopy 0 Fence 0 Raze
Zoning C-2 Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. 0 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature Commercial--Remove existing cabinet and install new d/f internally illuminated cabinet on existing monopole support for"Valvoline".Sign
of Work height to remain the same. {UL#6Y502804}
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $800.00 Plan Approval� $0.00 Permit Fee Paid $50.00 Park Dedication $0.00
Issued By: Date 07/27/2012 Final/O.P. 00/00/0000
Permit Voided Parcel Id# 1307440110
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 s - ch activity.
I have read an. - •-rstand the .fore mention-. • ormati••.
Signatu —mem/ Date
4111111111..."- Agent/Owner
Addre 528 MIRANDA WAY FOND DU LAC WI 54937 - 9105 Telephone Number 920-921-7181
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 OJHKOJH
Building Permit Application ON THE WATFR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through our acc�oz t El
JOB ADDRES / 7Q � /ry e.,//4' �T
OWNER ADDRES
, .c .,Yvs^71' a/
CONTRACTOR S zY /d/C.
I am the: ❑ Owner OR _ Contractor
USE CATEGORY
DSingle Family ❑Duplex DMulti-Family DRental ommercial ❑Industrial
Work being done:
Addition U Deck/Porch/Patio D Driveway/Parking
D External Remodeling D Fence/Hedge/Kennel rl Garage/Utility Structure
D Handicap Ramp _i Hot Tub/Spa Li Internal Remodeling
ign/Canopy/Awning 71 Stair/Handrail D Stove/Fireplace
D Swimming Pool C!Wrecking Permit
D 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.q ov/orgtaw/wm/publications/anewoubiWA651.odf.
Additional information,such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway,may be reference o note if any additional info na ion is necessaa
•3 F 11 description of work being done: ,I" PX 2 fir,. //l//l/f ��I��
r ,r7AC'ity A,1- 4,,,,,..757/ j'i .,-.P:,./S- €.>",;,,/
1
aZ :74 6-t_ceag2 i
Anv work not included in this application is not permitted.
Value of the job $chle, (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 acknowle•: • •, d agree to these terms.
Name: r: 1—
:.;;;.._______...."------------3---
(Please print)
Signatur
Date: 7"c.,,,, /c=2
3/02