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HomeMy WebLinkAbout0154147 - Building (remodel bathroom) CITY OF OSHKOSH No 154147 OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3255 MEDALIST DR Create Date 01/11/2013 Project remodeling existing bathroom Project Number 0 Owner ARROWHEAD SYSTEMS INC Plan Contractor P&N CONSTRUCTION LLC Inspector Nicole Krahn Designer Category 211 -Alteration Industrial Type of Plan Zoning M-3 Square Footage Major Occ Const Class Fire Protection O Sprinkled 0 Unsprinkled Sprinkler Design Occupancy Permit Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 ❑ Projection Canopies Signs Use/Nature of Work IND/remodeling bathroom to include new drywall and ceiling tile/no electrical/plumbing will need to pull a permit for their work/no structural changes/all work will meet state and local codes HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $7,000.00 Plan Approval $__0.00 Permit Fee Paid $79.00 Park Dedication $0.00 Issued By: _ Date 01/11/2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1413620103 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 t secure ny necessary approvals before starting such activity. I have read a underst d re entioned information. �/....5 Signature it Date /! Agent/Owner Address PO BOX 2244 Oshkosh WI 54903 - 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. roi..- P O Box 1130 City of Oshkosh Oshkosh,WI54903-1]30 411....i..)7 Phone: (920) ox 5050 Fax:(920)236-5084 Building Permit Application www.ci.oshkosh.wi.us Project '055 m eA(cx ■ 5`t- 0 v- Address �. Applicant Owner Contractor Tenant Other(describe) G Owner/ Name > r b e_ C D v\Ue Lap Phone d S -53 C0 2 Tenant Address 33 in 441:1-A's-c- e c Email Contractor Company Name I`- Y`S "c'�■ a YN Phone _l ?0 `//0-- 14 5 Contact P0-1) Pa— .'e� Email P°'`) t Sc--1)86) s � 6a l"oo E \`'-Address c6 p / 0 � i-ov, �e,-1\� � s qqa State Credential #'s , , Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address Permit Type Residential Single Family Residential Duplex C Ial Multifamily (Industrial Catagory New Addition Iteration —� Project (,e_A p O4- i°E-1-, ,-O©r�- Description — b- oi- Ct, lk Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ 7b 0 (Value for materials&labor is re 9•to ensure consistency in accessin g permit fees for all applicants.) Payment by: Check # a61!? Cash Permit Fee Account I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits t obta' ed. I a owledge and agree to these terms. tI Name: QU �s (Please print) Date: Oil/L-3 PA� / /