HomeMy WebLinkAbout0151466 - building (signage) CITY OF OSHKOSH No 151466
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2725 JACKSON ST Owner MERCY MEDICAL CENTER OF OSHKOSH INC Create Date 07/25/2012
Designer Bobby Conner Contractor TENANT
Inspector
Category 254-Signs Plan
Type O Building • Sign O Canopy O Fence 0 Raze
Zoning C-1 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 0 Other
O Concrete Block O Post 0 Treated Wood
Occupancy Permit Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature Commercial---install new/re-faced id signage*on existing ATM structure per submitted plans. **check#282444
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,500.00 Plan Approval $0.00 Permit Fee Paid $119.00 Park Dedication $0.00
Issued By: • (A Date 08/01/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1219810300
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 OSHKOSH WI 54901 - 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
P Box 1130
Oshkosh,WI 54903-1 I30
0--
Phone:(920)236-5050
Fax:(920)236-5084 O/1--1KQfH
Building Permit Application- Additions 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 2725 Jackson St Oshkosh, WI 54301
OWNER Dave Quindt (Please see attached letter of authorization)
BUILDING CONTRACTORDBI Wisc Inc PO Box 247, Marshall, WI 53559
ELECTRICAL CONTRACTOR Using existing electrical
PLUMBING CONTRACTOR
HEATING CONTRACTOR
I am the: 0 Owner OR ® Contractor
USE CATEGORY
DSingle Family ODuplex ❑Rental
• Full description of work being done: The scope of work for this job entails removing the existing
canopy over the ATM with a new canopy. In the first phase, the sign will still be branded
M&I. Sometime later this fall (most likely October) the branded panel on the sign will be
swapped out and replaced with a BMO Harris Bank panel.
Any work not included in this application is not permitted. Please make sure to attach your
Plan Submittal Checklist to this application with all the required information.
Building Value of the job not including mechanicals $ 10,500
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: Ahhi Ciovieir
(Please print)
.rit-
Signature• „ --r.
Date: 7//6411i-Z
11/03