HomeMy WebLinkAbout0154399 - Building (insulation walls and ceilings) CITY OF OSHKOSH No 154399
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1027 MICHIGAN ST Create Date 02/11/2013
Project Insulation Project Number 0
Owner JEFFREY/SANDRA KNUTSON Plan
Contractor A-AEXTERIORS.COM INC
Inspector Nicole Krahn
Designer
Category 211 -Alteration Industrial Type of Plan
Zoning C-3 Square Footage
Major Occ Manufacturing Const Class
Fire Protection 0 Sprinkled 0 Unsprinkled I Sprinkler Design
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection j Canopies Signs
Use/Nature
of Work
COMM/Installing cellulose insulation in the exterior walls and ceilings.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: Date 02/11/2013 Final/O.P. 00/00/0000
Permit Voided Parcel Id# 1300410000
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 understand the afore mentioned information.
Signature Date
Agent/Owner
Address 6897 CLOW RD WINNECONNE WI 54986 - 8801 Telephone Number 920-841-9004(Cell)
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.
{ of P O Box 1130
Cityof Oshkosh Oshkosh,WI 5)903-1130
Oshkosh Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
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Address / L l
Applicant Owner Contractor Tenant Other(describe)
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Contact J t76,/rj ePa� Email/int i/V 179 it:',
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State Credential#'s CO -) 6' j 4_ , C 5—.J 1
Dwelling Contractor Qualifier# Dwelling Contractor# r Drt.Y1 rl yf!; •gistration# /
Achitect/ Company Name Phone
Designer FEB 0 8 2013
Contact Email
Address cis
Permit Type Residential Single Family Residential Duplex Commercial: Multifamily Industrial ,
Catagory New Addition Alteration �/
Project /W5 �L-4'7 '&'v � I c4 /9itJ - Gt7C-j4
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ CJ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account ( 50 --
I cert fy the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtaine . IIaacknowle a and agree to these terms.
Name: " `� � (Please print) Date:
Signature:
---- fli 161-).