HomeMy WebLinkAbout0152280 - Building - New Dental Clinic CITY OF OSHKOSH No 152280
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2530 W 9TH AVE Create Date 09/10/2012
Project NEW DENTAL CLINIC Project Number 20120199
Owner WIHLM DENTAL Plan Y2-3632-0912
Contractor KELLER INC
Inspector Nicole Krahn
Designer KELLY SPERL
Category 221 -New Offices, Banks, Professional _ _ Type of Plan New
Zoning Square Footage 5,227 SQ FT
Major Occ Business Const Class _
Fire Protection 0 Sprinkled O Unsprinkled I Sprinkler Design
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 1
❑ Projection I Canopies Signs
Use/Nature
of Work
ICOMM/WIHLM DENTAU Construction of a new dental clinic,State Approved Plans Transaction ID#2135828. **check#119755
HVAC Contractor QUALITY MECHANICAL INC Plumbing Contractor JT SCHMIDT PLUMBING INC
Electric Contractor BUSS ELECTRIC INC
Fees: Valuation/y�� x$709,8.95.00 Plan Approval $0.00 Permit Fee Paid $2,218.00 Park Dedication $0.00
Issued By: ,a r , J
Date 09/11/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#
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 necess approvals b fore starting such activity.
I have read and understand eAfore me r3f nformation.
Signature
Date q-11-) Z
Agent/Owner
Address PO BOX 620 KAUKAUNA WI 54130 - 0620 Telephone Number 920-766-5795
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.
P 0 Box 1130
1 City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project ,�/ r
Address 1c 2 v w• q r�AVL'4l/Vf
Applicant Owner Eiintractor Tenant Other(describe)
Owner/ Name L)i F/L►'Y7 al AJ7/g L Phone 7Z0 - Z3/ ."D000
Tenant
Address 1 $ Iv. m Uit d Oct Email /17)04 15W.! lQ 0 litMoiiaT/9'C,a
Contractor Company Name ehA.c.U1l2 / /,v L. Phone 9 x- 766 - $ 79J
Contact g 1 T Go t aCA) Email se601.0 )e PIaIteolV'sr'eeo,
Address 1".D. 150X 6o L 6 / K 04 0/09 60 .3—v/. D
State Credential #'s , , 2760/ 6
Dwelling Contractor Qualifier 4 Dwelling Contractor# Building Contractor Registration 4
Achitect/ Company Name 11:tL):/ . I
14)6. Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commer• Multifamily Industrial
Catagory CPI, Addition Alteration
Project 31.C/0 S,- a /U 9 C e_pw�-
Description
, , -, 9
� -A.k
�... sEp 0 1 2012
RT LN 1;F LO1
;
mE`�l
COMM� `1 '( iR)E V1S �tN}ISI
ON
1NSPCC 1°'I SC '-
Mechanical Separate permits will be obtained,r the following: �7 13-Heating y3t?zc
Permits Electrical by 13 USS ldL C I Plumbing by .37- S e}}rn/T by arm
Value of Job $ 7D gr Q'7} (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)ti
Payment by: Check # Cash Permit Fee Account
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: I r 0 ' 7;41 (Please print) Date: q- (O- /2
Signature: IOW