HomeMy WebLinkAbout0154243 - Building (door replacement) CITY OF OSHKOSH No 154243
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 103 ALGOMA BLVD Create Date 01/11/2013
Project DOOR REPLACEMENT Project Number 0
Owner ONE SIX EIGHT ENTERPRISE LLC Plan
Contractor KURT LANGKAU
Inspector John Zarate
Designer
Category 205-Alteration Amusement,Social, Recreation Type of Plan
Zoning C3DO Square Footage _ _ —_
Major Occ Const Class
Fire Protection O Sprinkled O Unsprinkled 1 Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures - _.-- 0
D Projection j Canopies __ Signs
Use/Nature
of Work
ICOMMI(107)DOOR REPLACEMENT ON THE BACK OF THE BUILDING
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,5.00.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: 'G- 'r Date 01/22/2013 Final/O.P. 00/00/0000
Permit Voidedl Parcel Id# 0100950000
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 r tonfl^the afore mentioned information. 22_Signature fi• Y` Date
Agent/Owner
Address 175 N WESTERN AVE NEENAH WI 54956 - 0000 Telephone Number 920-886-1995
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.
P 0 Box 1130
4 City of Oshkosh Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address 10? AL-6014M 13 L vD, 5`7 � (
Applicant. Owner Contractor Tenant Other(describe) 2
Owner/ Name J%1 M iZ LO /I W 13A S (co i5L-A r1 V') Phone�f'ZO-37(P - 0, s
Tenant d
Address I e j'u K cl1 A V F ''I01 Email/OA-12.W.
� A01345 e(f 5L,C o
Contractor Company Name t YIALA-T2 r!Z2 ha/1Z 1-L c Phone'V— Oap
—/9',s-
Contact K✓12 T / l N(X A v Email K J/Z T L e f i e i
Address 1 7S- A) . e S1-7"/ /! ve, w4 1/J 1 1 er C4? q)
State Credential#'s '
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name SAn'1/1 r As cowl 1 1R Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteratio
Project
Description gE MO /� n A h,�y�
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LMcK 1 gar= &L)2-kor_iob , PenAcE wzri4 New 1144v
c.i F,T6e &Z4sJ vptiTS , New .Do rn) FM t ,
(21A ss Am A- 1-14-,b),v,FZE .a 4w -Ai& 4- PA/to L
C� VICE To 6 c: 0 feNSA16 be /4-7J'ie/DD PHOTO,
Mechanical Separate permits will be obtained for the following: f1/4-r/4-
Permits Electrical by Plumbing by Heating by
Value of Job $ 9 1 Co 0 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 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.
Name: KU(Z1 tr.. L ANM<AU (Please print) Date: /2--IO 1 2
Signature: lv ` h
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