HomeMy WebLinkAbout0152456 - Building (wall sign) CITY OF OSHKOSH No 152456
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 100-106 HIGH AVE Owner CITY OF OSHKOSH Create Date 08/16/2012
Designer Terry Laib Contractor LAIB RESTORATION INC
Inspector
Category 254-Signs Plan
Type 0 Building • Sign 0 Canopy O Fence 0 Raze
Zoning C-3D0 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection i
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs 1
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
O Concrete Block O Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature Comm/Install s/f non-illuminated wall sign*on south elevation for"Grand Opera House" **check#4942 —
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid _ $64.00 Park Dedication $0.00
_
Issued By: n Date 09/18/2012 Final/O.P. 00/00/0000
❑ Permit Voided] Parcel Id# 0100910000
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 a royals before starting such activity.
I have read an( H.rderstand the a e entioned information. c
Signature �— L� Date
Agent/Owner
Address 410 E MURDOCK AVE OSHKOSH WI 54901 - 3757 Telephone Number 233-7026
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.
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City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 Of=KO.f H
Building Permit Application 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 Ft
JOB ADDRESS a 0° %;°\t, 'C'j ,,.,,, r i l"<
OWNER E„4.i C 1 t'j j ti. P(In
CONTRACTOR Lett.\1 i k.e ` .-Le-za ' N)--‘...--, ,i't,G.
I am the: ❑ Owner OR IlSontractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ]Commercial ❑Industrial
Work being done:
❑Addition ❑Deck/Porch/Patio ❑Driveway/Parking
❑External Remodeling ❑Fence/Hedge/Kennel ❑Garage/Utility Structure
❑Handicap Ramp ❑Hot Tub/Spa ❑Internal Remodeling
t4ign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace
❑Swimming Pool ❑Wrecking Permit
❑Other
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 necessary.
❖ Full description of work being done:1 1.,rec_. w _' S.icl i&6,61rain,c1 apai et ( ,L5;. )
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c�u,,c eack w�,yii,1 � 5 y� ` l0r~,J x C; a c o. tO CAA S �i-1 ele(.e12J1,-�"-�
15 (s 0 1 t tJ t r\e_ 4 m.c 1 f,0, -1 S,c-k, L.). t( 4 : -1" k i I/ G: 1,,,I vtcol evc_Any]work not included in this application is not permitted.
Value of the job$ ,7( > 0(2, (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN,&DATE:
I cert*the above information is complete and accurate. Any deviations from the above submitted
information may require additional per its to e obtained. I acknowledge an. agree to these terms.
✓"",
Name: YLvyA rIt ` , ' :r'v
_ (P ase print)
Signature: ° «, e t
8 - / 6 — 1 -2_ Date:
3/02