HomeMy WebLinkAbout0151682 - Building (driveway repairs) (a) CITY OF OSHKOSH No 151682
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 111 N MAIN ST Create Date 08/14/2012
Project DRIVEWAY REPAIRS Project Number 0
Owner FIRST WISC NATL BANK OSHKOSH Plan
Contractor CAPELLE BROS&DIEDRICH
Inspector John Zarate
Designer
Category 257-Commercial Parking Lot/Driveway Type of Plan
Zoning C-3D0
Square Footage
Major Occ Const Class
Fire Protection O Sprinkled 0 Unsprinkled I Sprinkler Design
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
Removing/replacing 9'x 40'section of asphalt driveway to repair concrete trench drain on south side of property**ANY WORK IN THE
RIGHT-OF-WAY WILL NEED APPROVAL AND A PERMIT FROM THE PUBLIC WORKS DEPARTMENT**
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuati ,800.00 Plan Approval $0.00 Permit Fee Paid $119.00 Park Dedication $0.00
Issued By:Valuati
Date 08/14/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0100300000
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 - y necessary approvals before sta ' such activity.
I have read and uno st- d to—fore nti i on
Signature
� Date � /4(17
Agent/Owner 111
Address 253 N HICKORY ST FOND DU LAC WI 54936 - 1274 Telephone Number 920-921-7830
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.
G P O Box 1130
City of Oshkosh, Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.ns
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name a . 5 , J vae,a ai -ti cu. - if 3 a
Phone -92c) - KZt _4115 Tenant
Address // / N.. H4i'1 '57- / 65 /!t-?S Email
Contractor Company Name G.411% e c-D/Q't 10+ --27-NC
Phone 4-7.- V ci 0( —"'i Y..
Contact 6-.0.4•.«( Email ca„ Cd c-tt p.2I/, i ar«4. «.,
Address 25.3 ;v . rf t c14c-E2`f s t g4c.)l2 ')c c4-4-c- 1 c Jr
State Credential #'s --> „�` Ley/ q 6)
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name ,
Phone
Designer
Contact Email
Address —
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project 04'4
Description c-oxSc_Qc�r4. �45,e4c<0-5 ?^sZ cic14 cvto ,�_ S, 64,x;'.
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by °— Heating by
—
Value of Job $ _
(Value for materials&labor is re ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certib,the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: — I L-5(6ver� 2
(Please print) Date: 1s ' !/4 '
Signature: a %-�r ,c: --�”"' (---