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HomeMy WebLinkAbout0151725 - Building (maint work on parking area) CITY OF OSHKOSH No 151725 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2700 W 9TH AVE Owner MERCY MEDICAL CENTER OSH INC Create Date 08/10/2012 Designer Dave Strey _ Contractor BADGER HIGHWAYS Inspector Category 257-Commercial Parking Lot/Driveway Plan Type • Building 0 Sign O Canopy O Fence O Raze Zoning C-1 PD 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 O Pier 0 Other 0 Concrete Block O Post O Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 UselNature (Commercial---mill and overlay maintenance work on existing off-street parking area per submitted site plan. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $22,980.00 Plan Approval $0.00 Permit Fee Paid $457.00 Park Dedication $0.00 Date 08/15/2012 Final/O.P. 00/00/0000 Issued By: ❑ Permit Voided! Parcel Id#0613670000 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 u rstand th mention d inf rmation. , 1.1?-. I �_ Signature t)/ p,IA_ CAL.-3 Date Agent/Owner Address PO BOX 358 MENASHA WI 54952 - 0000 Telephone Number 920-739-7754 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 Os -_Os,_ Inspection en ices Division "-- P O Box 1 I ,0 = Oshkosh, Vs, i 5-:903-1130 Phone:(92 U ;+ 2:;5-5050 ) Fax:(920) 6-5084 � Building Permit Application f you arz contractor lartici•atin. in the Permi Fee Account System and have adesuate unds. check here i 'ou wa,7 this •rocessed th,ouch your account JOB ADDR E SS -�-0 OWNER LYLC`4 0,0>L41, C.6)."1-012_ CONTRACTOR 50604,02.-- 1'11,6 ifilkarY-tj I a m the: 0 Owner OR t4Contractor USE CATE GORY ©Single Family DDuplex ❑Multi-Family [Rental tCommercial ❑Industrial Work being done: Addition Deck/Porch./Patio KDriveway arkin ❑External Remodeling ❑Fence/Hedge/Kennel E.Garage/UtiIity Structure ❑Handicap Ramp =Hot Tub/Spa Internal Remodeling ❑Sign Canopy/Awning ^Stair/Handrail Stove/Fireplace ❑Swimming Pool ❑Wrecking Permit ❑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; - ditional information on hazards present in buildings see the Pre-Demolition Environmental Checklist at • For additional 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 necessa ❖ Full description of work being done: K L SuTFac� a r3'- Any work not included in this application is not permitted. Value of the job $ 22,'3Z (Value for materials and labor is required to ensure consistenc} in accessing l applicants.) permit fees for all PLEASE READ, SIGN, & DATE: I cert f 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: t CRZei (Please print) Signature: betkre-TqC Date: - (cs - i2- 3/02