HomeMy WebLinkAbout0154487 - Building CITY OF OSHKOSH No 154487
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 440 SULLIVAN ST Create Date 02/18/2013
Project Repair fire damage to unit#1.
Project Number 20130344
Owner SULLIVAN STREET GARDEN APARTMENTS LLC Plan
Contractor AQUIRE CONTRACTING&RESTORATION INC
Inspector John Zarate
Designer
Category 140-Interior Remodeling Type of Plan
Zoning R-4 Square Footage
Major Occ Const Class
Fire Protection 0 Sprinkled 0 Unsprinkled I Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
COMM/Gutting walls to studs. All new interior surfaces will be installed including insulation. No structural alterations will be made. Separate elec.,
plmg, HVAC permits will be obtained. All construction shall comply with State and local codes.
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HVAC Contractor BLACK-HAAK HEATING Plumbing Contractor R AND R PLUMBING, LLC
Electric Contractor NEW COVENANT CONTRACTING, LLC
Fees: Valuation $22 „ I I Plan Approval $0.00 Permit Fee Paid $167.00 Park Dedication $0.00
Issued By L\�.r �r Date 02/18/2013 Final/O.P. 00/00/0000
n Permit Voided Parcel Id# 1611230400
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 n essary approvals before starting such activity.
I have read and un rstand e afo ementioned information
Signature Date ?-/(1(t
Agent/Owner
Address P.O. BOX 2484 Oshkosh WI 54903 - 0000 Telephone Number 920-688-2000
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website; http://dnr.wi.gov/air/compenf/asbestos/. For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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.
"� PO Box 1130
City of Oshkosh,
G • Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application www•ci.oshkosh.wi.us
Project
Address 1/ 0 SO t l\ Jc >i4-eQ`t 04-d— ( 014056 5yC $0 ON
/
Applicant Owner ontractor Tenant Other(describe) ��11 �j
Owner/ Name ?en kt i--- 1.��"QI Phone l9a . S C 0 . 337-1-
Tenant d C R�f,,cz II ° l(.�
Address 'D5 L c" Email
Contractor Company Name ir, -^e- 2 e rS., ,it I LAC Phone
Contact Email
Address
State Credential 4's ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration 4
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition lteratio
Project '✓L � r 4-0 GcIccr /Vt.
Description
— C e_.? •-r--e-- c\N` C Jr s
Mechanical Separate permits will be obtained for the following: ! �"
Permits Electrical by N&,.l)(dvp 04.%F Plumbing by Ptuy..4.12h� Heating by� (cc K- (-I jL-
Value of Job /
$ Z z t �iYJ17 � (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 obi.'••= I. knowledge and agree to these terms.
Name: e�Mv-... f (Please print) Date: ,�, (i,3
Signature. ( l
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