HomeMy WebLinkAbout0154837-Building � CITY OF OSHKOSH No 154837
�
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3420 JACKSON ST Create Date 03/25/2013
Project �nterior Alteration Phase I ___.._ Project Number 20130397
Owner REILLY REAL ESTATE LLC Plan
CoMractor PIONEER CONSTRUCTION LLC
Inspector John Zarate
Designer Excel Engineering
Category 223-Alteration Offices, Banks, Professional Type of Plan Alt.Level 2
Zoning M-3 _ Square Footage 21854
Major Occ Mercantile Const Class Type VB
Fire Protection � Sprinkled 0 Unsprinkled � Sprinkler Design
Occupancy Permit Required __ Flood Plain Height Permit
Park Dedication ___ #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
COMM/Interior alterations per State approved plans. All construction shall comply with State and local codes.
' '
HVAC Contractor UNKNOWN??? Plumbing Contractor
Electric Contractor SPECIALTY ELECTRIC&DATA ,
Fees: Valuation $90,0 . Plan Approval $0.00 PermitFee Paid $1,305.36 Park Dedication $0.00
Issued By: ,,� Date 03l25/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1519603901
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 a ecessary approvals before starting such activity.
I have read and und r d the afore mention formation.
Signature �' Date 2� � �
AgentlOwner
Address PO BOX 141 _ WILD ROSE WI 54984 - 0000 Telephone Number (715)281-6092
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-}.� O�OS G�OS G Oshkosh,WI 54903-1130
� l. L I L !L Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application `�""''".°Sbk°Sh.'"'.°S
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name ��[�*� 1°'����� Phone
Tenant
Address��� �4'U�f�� �� Email
Contractor Company Name �}',j Can,.e-4; ��-rti.,� Phone ��� '��l ^(,�°!�
Contact l(t�.t� (N� ?�- Email P��-�-t-Z+���(� �Ct�, �c�
Address �G �'y� �i�t� t,��,r_ ��''�j�
State Gedential#'s �7rj(%j!� , i���3�c`� , ��7�3 ��
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
Description :
i n3��� �V��.cS"i�� (.cT�-��� � d ,'C G�j �'
l� ��.�-�v- �,r'�t ���. �-�-� o�
t.t.�a,� c� ' �n�
Mechanical Separate permits will be obtain c�f the following:
Permits ���' "ia�'� � ����t /�
Electrical byti�.��. y, Plumbing by ��`r�� . Heating by f7' �
Value of Job �p �
$.�1 i (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 a6ove information is complete and accurate. Any deviations from the above submitted information may require additiona!permits
to be obtained. I acknowledge and agree to these terms.
Nan1e: (Please print) Date:
Signature: