HomeMy WebLinkAbout0152598 - Building (signs) CITY OF OSHKOSH No 152598
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1020-1142 S KOELLER ST Owner KOELLER ONE LLC Create Date 09/11/2012
Designer Gary Spielbauer Contractor UNITED SIGN CORP
Inspector Nicole Krahn
Category 254-Signs - Plan _
Type 0 Building • Sign 0 Canopy O Fence O Raze J
Zoning C-2
_ Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs 1
Foundation • Poured Concrete O Floating Slab 0 Pier O Other
O Concrete Block O Post (3 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 Commercial--1022 S. Koeller Street--Install new s/f internally illuminated wall signage for"Little Ceasars" {UL#ELOQ30). "check#7712
of Work
HVAC Contractor Plumbing Contractor _
Electric Contractor
Fees: Valuation ` $4,000.00 Plan Approval $0.00 Permit Fee Paid $71.00 Park Dedication $0.00
Issued By: (it_J Date 09/26/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1308490000
Cautionary Statement to Owners Obtaining Building Permits
101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654(2)(a),the following consequences might occur:
(a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work performed under the building permit.
(b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub. (1)(a), because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
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 aforementioned information.
Signature Date
Agent/Owner
Address 1818 W BELTLINE HWY MADISON WI 53713 - 2334 Telephone Number
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.
Building Permit Application
i City of Oshkosh Department of Community I
Development
Project
Address ` C�1 LZ 5 !
Applicant Owner Contractor ( Tenant Other(describe)
escribe
Owner/ Name L �I � � • 'r
Tenant e?_ �zF��°V� �uc Phone �'Zi�—�" -I t-2, •s
7 r,
Address {C S St 4'4'd'''�
eV S hL'S Email
Contractor Company Name (,i,,tc
4 Ci Stet •--, Phone Tz -
/e,:3- 5-3 iJG
Contact c t .,t .7 l O�r
(Ec
Email
Address L , • Nb .v L _ Cl-- 7 r
State Credential #'s
Dwelling Contractor Qualifier# Dwellin Contractor#
g Building Contractor Registration#
Architect/ Company Name
Designer Phone
Contact
Email
Address
Permit Type Industrial Commercial Multifamily
Category Ground Sign(Pole/Monument) --Wall Sign]<18"from wall face) Projecting Sign (>18"from wall face)
Project
Description
0p ` --�e t( 9_ -�c. �-E--6) t(- (e - 61-'-it......
L....4* Jc.^ Lie
Ic '!
Mechanical Separate permits will be obtained for the following:
Permits Electrical by UL Numbers
Value of Job
$ 00 t! yo(30 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
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: \KA f I I c .,, ;ve.11 .
(Please print) Date: /4 77-,,
Signature: _.,` 7/C; , /xc
a
1/25/2012