HomeMy WebLinkAbout0153706 - Building CITY OF OSHKOSH No 153706
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 S OAKWOOD RD Create Date 11/20/2012
Project REMODEL Project Number 20120258
Owner MERCY MEDICAL CENTER OSH INC Plan Y6-3670-1112
Contractor BOLDT OSCAR CONSTRUCTION
Inspector Nicole Krahn
Designer — -
Category 220-Alteration Hospitals&Institutions Type of Plan Alt. Level 2
Zoning C-1 PD Square Footage
Major Occ Business Occupancy Const Class
Fire Protection • Sprinkled O Unsprinkled Sprinkler Design
Occupancy Permit Not Required Flood Plain No - Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Projection Canopies Signs
Use/Nature
of Work
COMM/MERCY MEDICAU Rennovations to suite 106,cardiology. Two existing nurse stations will be removed and two new exam rooms will be
created. The cardio record area will also be modified to a new work station. **check#113637
HVAC Contractor AUGUST WINTER&SONS INC Plumbing Contractor AUGUST WINTERS CO
Electric Contractor PIEPER ELECTRIC INC
Fees: Valuation $40,000.00 Plan Approval $0.00 Permit Fee Paid $208.00 Park Dedication _ $0.00
Issued By:6- bi J Date 11/26/2012 Final/O.P. 00/00/0000
El Permit Voide J 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 to secure any necessary approvals before starting such activity.
I have read and under - a or- us'1on-• 'n • mation.
Signature �� Date /I/2a a
Agent/Owner
Address PO BOX 419 APPLETON WI 54912 - 0000 Telephone Number 739-6321
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
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 Of- KO./H
Building Permit Application- Additions ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account (I
JOB ADDRESS cBD S, ad,
OWNER / L,{ 4',\l, t /�r�0
BUILDING CONTRACTOR L r 11_
ELECTRICAL CONTRACTOR l'1,c-p. El; +`?-
PLUMBING CONTRACTOR Aoa)oS-
HEATING CONTRACTOR
I am the: ❑ Owner OR Contractor
USE CATEGORY
❑Single Family ❑Duplex DRental
• Full description of work being done: 5c,;-e_ 106 loag Oe 1-D;
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Any work not included in this application is not permitted. Please make sure to attach your
Plan Submittal Checklist to this application with all the required information.
Building Value of the job not including mechanicals $ Lt0, �
PLEASE READ,SIGN, &DATE:
I cert 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: �orl C. Alter
Please print)
Signature: -
Date: 107/0,
11/03