HomeMy WebLinkAbout0154741-Building (interior demo only) � CITY OF OSHKOSH No 154741
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 304 OTTER AVE Create Date 03/18/2013
Project demo interior building _ _ _ _ ___ Project Number 0
Owner OSHKOSH OTTER AVE LLC Plan
Contractor DAVIS BUILDING SERVICE LLC
Inspector John Zarate
Designer
Category 223-Alteration Offices, Banks,Professional ___ Type of Plan
Zoning C-3 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit _ _ Flood Plain Height Permit
Park Dedication ___ _ #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
COMM/demo interior of building for future remodeling/remodeling is not part of this permit ,
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HVAC Contractor _ _ Plumbing Contractor
Electric Contractor
Fees: Valuation __ $3,000.00 Plan Approval _ $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: ��� Date 03/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0200500000
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 ny necessary approvals before starting such activity.
I have read a d dersta the�fol�e e ioned information.
Signature � Data� l�
AgenUOwner
Address 21_THACKERY DR __ _ OSHKOSH ___ WI 54904 - 7140_ Telephone Number (920)379-6559
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 O Box 1130
� l�'lty �f OS���S� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application ����.oshkosh.w;.�s
Project `� / � �J /�1 l �,
Address V v ( v `�'i� � ��•
Appticant Owner Contractor Tenant Other(describe)
Owner/ Name ��� �� � ,���',� ��.c r ���
Tenant Phone
Address Email
Contractor Company Name ���> Q U� l6 t�� P��•�C S Phone �� � 3�`1-�SS�"/
Contact Y "\� l�� k/a�:3 Email�a�;5�v;�c�t�S�r�:�-���� c�j-�-�
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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 Commercial Multifamily Industrial
Catagory New Addition Alteration
Project ��\ � � 1� {� 0 -e �� c� / �c5 ���G��/' o t' u-e rk n C�� `
Description
Mechanical Separate permits will be obtained for the following: '
Permits Electrical by Plumbing by Heating by
Value of Job $ �(��� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cerlify the above inforn:ation is complele and accw•ate. Any deviations from the above submilted information may requir•e additional permits
to be obtained. I acknowledge and agree to these terms.
Name: (Please print) Date:
Signature: