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Home My WebLink About2012-Building ( alteration tenant space) CITY OF OSHKOSH No 153460 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 301 N SAWYER ST Owner RICHARDNIRGINIA NASLUND REV TRUST - Create Date 11/08/2012 Designer - - ------------------- Contractor OWNER Inspector Nicole Krahn Category 232-Alteration Stores&Customer Service - - - Plan Type 0 Building 0 Sign 0 Canopy - -- ❑ Fence - ❑ Raze Zoning C-2 ---- _--- -- ------ - -- i Class of Const: - Unfinished/Basement Sq.Ft. Size _ Rooms Height Ft. Finished/Living ❑ Projection Sq.Ft. Bedrooms Stories - Garage Canopies Sq. Ft. Baths Foundation • Poured Concrete 0 Floating Slab ❑ Oth Pier Signs Other O Concrete Block O Post ❑ Treated Wood _ Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication - #Dwelling Units _ - -- Use/Nature - #Structures _ 0 ICOMM/Retail/Remove wall*separating 2 existing tenant spaces and closing in an existing door. Approved plans and a seperate permit of Work will be required for the new space(s)to be occupied by future tenant. HVAC Contractor - - - --- --___ - --- Plumbing Contractor - - - Electric Contractor Fees: Valuation 3,000.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication Issued By: - $0__ Date 11/08/2012 Final/O.P. 00/00/0000 ❑ Permit Voided' Cautionary Statement to Owners Obtaining Building Permits Parcel Id# 1610730200 101.65(1r)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. IIn 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 301 N SAWYER ST OSHKOSH WI 54902 - 4252 Telephone Number CONDO UNIT 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. \ / 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 t.7 `.C =_i�_r cY /_ 5 5 6'1r t ,.S,L//, 7-� /� Applicant Owne Contractor Tenant Other(describe) Owner/ 1 ter' // Tenant Namei`r S G' • one !C Address 3C). ( 4/, � 7 w =V • Email - Contractor Company �� pany Name ,4,f/ G'� s )L Phone U i.7'rl * - 3-0/ 2- 17/cc° Contact i .IA G ".• m,16.' Email -t s— Address --gG 'SO w' -'/'State Credential#'s 4 f/ Y-�G'� E-7 90 „5---/L- &, /,(6)S. .e_)-7— Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name / U,S Designer �1 5, Phone ^S � �I� Contact /( Email Address (° Gi S Gagj e (/(2,, Permit Type Residential Single Family Residential Duplex Commercia Multifamily Industrial Catagory New Addition (Alteration Project de`')/1 4'7/ J Description C� �J �� l�� y� U Ve v "DUB- 7‘;'--p-f---,24,y)p 1 / /A--.' /,,2 / , Gt //c 4,--/.-e-14 1-- ,_5--e Z-'7 ‘ �'Ce�c U e2 .Y evo , � / Mechanical Separate permits will be obtained for the following: Permits Electrical by -g- Y /1/ Plumbing by .,./1/79 Heating by /" ' ✓/- 1 Value of Job e 0�� o � ' (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # Cash Permit Fee Account I certp the above information is complete and accurate. Any deviations from the above submitted information may require additional permits to be obtained. .1 acknowledge and agree to these terms. ,± Name: l� 1/ `!� e ,/(!/?f/(776/ (Please print) Date:l�/ ✓� °Z-d / -- Signature: C 4 •, ^a 9v vicei NISNOJSIM'HSONHSO L3a.S a3AM H1 ON SZC—'z[ H UN3dOmd ONmSVN allVHOIII NO-IJOS3a ava n3a SNOI1HJ31-IV ONI0-l1f19 JOIJ3INI EEM 2: 4hp a00 N C q�J _i �----- - �I TT ITT - ---drfiT - wll w� C dal a �� I ok c. gyp? Z s F F ® Il € I f ®ru ? eye J $ w� 2 � 9 fi e=�15 sdY g w a�\ F4� s IL 5 kw � �wR