HomeMy WebLinkAbout0153213 - Building (replacing CT Simulator) CITY OF OSHKOSH No 153213
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 S OAKWOOD RD Create Date 10/18/2012
Project CT Equipment Replacement Pins Project Number 20120236
Owner MERCY MEDICAL CENTER OSH INC Plan Y5-3655-1012
Contractor CG SCHMIDT
Inspector Nicole Krahn
Designer
Category 220-Alteration Hospitals&Institutions Type of Plan
Zoning C-1 PD Square Footage 650 sq ft
Major Occ Business Occupancy Const Class Type IIB
Fire Protection • Sprinkled O Unsprinkled I Sprinkler Design
Occupancy Permit Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
COMM/Replacing the CT Simulator. **check#758604
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valua'on $ 0,545.00 Plan Approval $0.00 Permit Fee Paid $211.00 Park Dedication $0.00
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Issued By: L Date 10/26/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0613660000
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 ogre any necessary approvals before starting such activity.
I have read an understand afore mentioned information. r�
Signature Date /O-A;/J
Agent/Owner
Address 11777 W LAKE PARK DR MILWAUKEE WI 53224 - 3021 Telephone Number 414-577-1177
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.
elle City of Oshkosh 5 P Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address 500 South Oakwood Road
Applicant Owner contractor Tenant Other(describe)
Owner/ Name Mercy Medical Center / Tony Rodman Phone 920-223-0195
Tenant
Address 500 South Oakwood Road Email arodman @affinityhealth . org
Contractor Company Name CG Schmidt Phone 414-828-5128
Contact Rebecca Schloer Email rebecca . schloer @cgschmidt . c
Address 11777 West Lake Park Drive Milwaukee, WI 53224
State Credential#'s , , 852822
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Hammel, Green & Abrahamson Phone
Designer 414-278-8200
Contact Mi chael Chobani an Email mchobanian@hga. com
Address 333 Erie St . Milwaukee, WI 53202 _
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project Replacement of CT Simulator
Description
OCT 1 C 2012
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPErTiON SERVICES DIVISION
Mechanical Separate permits will be obtained for the following:
Permits Electrical by van F rt Plumbing by Heatin g by Tweet Garot
Value of Job
$ 4 0, 54 5 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
,a,v_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: far G '('4.01�- (Please print) Date: 1��(Q vi`Y
Signature: ik, ^,