HomeMy WebLinkAbout2013-Building (signs) CITY OF OSHKOSH No 154174
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1900-1928 S WASHBURN ST Owner TODD ARNOLDUSSEN/MARK HARTZHEIM Create Date 01/10/2013
Designer Tim White Contractor FLYWAY INC
Inspector Nicole Krahn
Category 254-Signs Plan
Type 0 Building • Sign 0 Canopy 0 Fence 0 Raze
Zoning C-2 Class of Const: Size vary
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs 2
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature Commercial--address 1922 S. Koeller Street--install one internally illuminated cabinet sign on east elevation and one set of
of Work non-illuminated letters on west elevation for"Shea Electric" {UL number is HH767218)
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,845.00 Plan Approval $0.00 Permit Fee Paid $76.00 Park Dedication $0.00
Issued By: ' c_7.-- Date 01/15/2013 Final/O.P. 00/00/0000
❑ Permit Voidedl Parcel Id# 1316360000
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 underst-a• •- afore me. • • infor • • .
Signature Date /43r=%�
Agent/Owner
Address N55' IRANDA WAY FOND DU LAC WI 54937 - 9105 Telephone Number 920-921-7181
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
(.14/1171114-..\-ir)
Inspection Services Division
P O Box 1130
Oshkosh,W154903-1130
Phone:(920)236-5050
Fax:(920)236-5084 OJHKDf H
Building Permit Application ON THc WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed throu h your account fl
JOB ADDRESS � (�lC�e�7L�^ ////9J-12:4,-,/ J1
OWNER /5? G 74,', G
CONTRACTOR Gt1.�►/ d1� ,.5 ifr`i�C
I am the: 0 Owner OR ti<ontractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Akommercial ❑Industrial
Work being done:
0 Addition 0 Deck/Porch/Patio 0 Driveway/Parking
0 External Remodeling [1 Fence/Hedge/Kennel 0 Garage/Utility Structure
0 Handicap Ramp 0 Hot Tub/Spa 0 Internal Remodeling
Sign/Canopy/Awning i7 Stair/Handrail 0 Stove/Fireplace
0 Swimming Pool 0 Wrecking Permit
0 Other
For External Remodeling,Wrecking Permit,and internal Remodeling please see Chapter NR 447 of the Wisconsin Administrative Code and
Notification Form 4500-113 on the DNR Asbestos Program website;itttp:/ldnr.wi.00vlair/compenf/asbestos/.
For additional information on hazards present in buildings see the Pre-Demolition Environmental Checklist at
http lldnr.wi.00v/ora/awtwm/publications/anewbub/WA651.pdf.
Additional information,such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway,may be referenced to note if any additional information is necessary.
Full description of work being done:
/ ./r '/ L y�� D �.-7 �Aj, t (2,,r� -17,9/7
n fi /�/ �`
Any work not included in this application is not permitted.
Value of the job Sc:: 69 0 (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
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 Land agree to these terms.
Nam /
i D.) L 6
(Please print)
Signature:
Date: /-7-5-:"/-2
3/02
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