HomeMy WebLinkAbout0152562 - Building (interior remodeling) CITY OF OSHKOSH No 152562
OSHKOSH COMMERCIAL BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 400-430 N KOELLER ST Create Date 09/21/2012
Project Interior Remodel Project Number 0
--- Plan File
Owner OLH LLC — ——
Contractor D&J QUALITY CONSTRUCTION
Inspector Nicole Krahn
Designer
Category
223-Alteration Offices, Banks, Professional Type of Plan
—__----- --- ------
Zoning C-2 Square Footage
Const Class
Major Occ
Fire Protection 0 Sprinkled 0 Unsprinkled Sprinkler Design --
Occupancy Permit _ Flood Plain Height Permit - —
Park Dedication #Dwelling Units 0 #Structures
Projection ' Canopies Signs
Use/Nature
of Work -- — —
COMM/400 N Koeller/First National Bank/Remodeling the existing file room to create a nursing room.
HVAC Contractor Plumbing Contractor
Electric Contractor BEEZ ELECTRIC INC
Fees: Valuation $3,346.00 Plan Approval _ $0.00 Permit Fee Paid $46.00 Park Dedication
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OIL--
09/25/2012 Final/O.P. 00/00/0000
Issued By: IVY
Permit Voided Parcel Id# 1611220000
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.
Date
Signature
Agent/Owner
Address 2415 HICKORY LN OSHKOSH WI 54901 - 2521 Telephone Number 232-0538
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 Oshko sl L Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address (./'/�
'-/a AZ / RECEIVED Applicant Owner Contractor Tenant Other(describe)
Owner/ Name SEP 2 0 2012
Tenant Phone
DEPARTMENT OF
Address Email TNSPF(T1OAI SfRVTr`L�FP3 v:SION
Contractor
Company p Y Name /7104-7 c..XQ/.r j'k tiers�irrr F. f, Phone 9 2 23 7 61 Y
Contact j!�i\ (1.J.v1�v✓" / Email &N®d 4,.K CooSr'Lc{,c0Af,c-d✓w
Address Z WS. g46:✓ -,/J
State Credential #'s 70 7 3
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
Description
. )4 $1,&7-7i '"f=// /-1; // 0/acv ".
Mechanical Separate permits will be obtained for the following:
Permits Electrical by_BeG 7 Plumbing by NV Heating by /1/4
Value of Job c 0 o b
$ .J r-7 '■ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # S 7? Cash Permit Fee Account
I cert5 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.r
Name: , -J�.0 (Please print) Date: 477" /.7,,
Signature: —. ,,