HomeMy WebLinkAbout2013-Building � CITY OF OSHKOSH No 154868
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1171-1179 S WASHBURN ST Create Date 03/28/2013
Project Leasable Offices Project Number 20130399
Owner MICHAEL L STRATZ Plan
Contractor OWNER
Inspector Nicole Krahn
Designer Chet Wesenberg
Category 221 -New Offices,Banks,Professional Type of Plan Alt.Level 3
Zonin9 C'2 Square Footage
Major Occ Business Const Class 36
Fire Protection � Sprinkled � 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\(1171)Breaking up unit into o�ce suites.All work shall meet current code requirements j
HVAC Contractor UNKNOWN??? Plumbing Contractor UNKNOWN
Electric Contractor SLIM'S ELECTRIC INC
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $566.46 Park Dedication $0.00
Issued By: G� Date 03/28l2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1311940200
In the performance of this work I agree to perform ali 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 activiry.
I have read and unde tand e ' nf mation.
Signature .%%����� Date ����
AgenUOwner J
Address Oshkosh WI 54901 - 0000 Telephone Number
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
Clt1,/ �f OS���Sl� Oshkosh,WI54903-1130
� .l Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application �W��►.oshkosh.W;.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ �G���� / / �
Tenant N�e l�� � � Phone -f��Q y/D 2 7J v
Address �� d �/ Email //� /z f �4j
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Contact ����� Email
Address 2 �Sv /`���� k
State Credential#'s , �
: Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name G� � fj�/Q�� /� F Phone �,�� � 9 Q��
Designer
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Contact �� �� Email
Address � ��� � � f`t, `l
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Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � �� � � (�
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical b , S��� Plumbin b
Y g y /��� Yt �P Heating by__ /��y.Q
Value of Job � ��..-�y
/p�v(�C/ (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. acknow edge and agree to these terms.
Name: <`c� e � � �7`a�Z— (Please print) Date: �` 2-�T ��
Signature: