HomeMy WebLinkAbout0153532 - Building (Parking lot) CITY OF OSHKOSH No 153532
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 495 W WAUKAU AVE Create Date 11/13/2012
ON Project Number 0
PARKING LOT ADDITION _
Owner TOLLROGE PROPERTIES LLC Plan
Contractor TENANT
Inspector Nicole Krahn
Designer
Category 257-Commercial Parking Lot/Driveway Type of Plan
Zoning M-3 _ Square Footage -
Const Class
Major Occ
Fire Protection 0 Sprinkled O Unsprinkled I Sprinkler Design
Occupancy Permit Not Required Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units _ 0 #Structures 0
El Projection Canopies _ Signs
Use/Nature
of Work
COMM/PARKING LOT ADDITION(SITE PLAN REVIEW) **check#20534
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $30,000.00 Plan Approval $0.00 Permit Fee Paid $178.00 Park Dedication $0.00
Issued By:57Thj Date 11/13/2012 Final/O.P. 00/00/0000
El Permit Voided Parcel Id# 1413620101
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 i.xfabrstand the are mentioned information.
Date l
Signature
Agent/Owner
Address OSHKOSH WI 54901 - 0000 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.
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PO Box 1130 4,Itb City of Oshkosh 4, ( ir Oshkosh,WI 5)903-1130
Phone:(920)236-5050
1 Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.ns
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Address `t 11 1 c 14. w i4G<K of A} VE . a S1-4-Kos I4
Add
Applicant Owner Contractor CI ant Other(describe) �-p�
Owner/ Name FOX V14LLEy '►"'lE fl QLOG y , L-j £ Phone R � - t/)(' " 5 ° 1 il
Tenant
Address 31.)5' I'tEtoA(-!St DOW 0544S i-1-Email B1CIAr•@rF0)( 04(cerelF 'OrY.aprt
Contractor Company Name SEMEn� AS Phone 'Pc/-Ral ^ 90G
Contact �uN 5 Yv1ENA-S Email SEMEat4SEXcA-� (4,11A0/t-.Col
Address In '30 fo f /4V6 - FONA bu L-4- --
State Credential#'s , ` 13 r" 2 U
Dwelling Contractor Qualifier# Dwelling Contractor# p(0 Building Contractor Registration#
Achitect/ Company Name L�IS.So'J ac'-iv 6-1N 56R I A) G- -Z.MC— Phone to - 7'37— 7I
Designer
Contact S1 v€ ksAlSF/2. Email SI(1415t et/4SS5aJ "/V6 , Capt
Address 2I E. E4JTEIU1 LJE "4'1/F.J SG!TE c4 /1 IPt ET-0 Al
Permit Type Residential Single Family Residential Duplex(Commercial) Multifamily Industrial
Catagory New �tio Alteration
Project —PA-1210 Lo r �Q lT 10 N
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 3 4, A40 co-- (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 45S 4 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. 1 ,�(/
Name: RR t1R-� S. LT LI S l W SIK( (Please print) Date: 1 ( — t a - )1F�` cl
Signature: 1S4A` S' 6-.12y1===