HomeMy WebLinkAbout2013-Building � CITY OF OSHKOSH No �sasso
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1302 S MAIN ST Create Date 03/22/2013
Project Alteration for change of Use Project Number 20130391
Owner ADAPTIVE PROPERTIES LLC Plan Z1-3720-0313
Contractor OWNER
Inspector Nicole Krahn
Designer
Category 211 -Alteration Industrial Type of Plan Alt.Level 3
Zoning M-2 Square Footage 15505
Major Occ Storage Const Class Type IIB
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design none
Occupancy Permit Required Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0 :
� Projection Canopies Signs
Use/Nature
of Work ;
INDJ Interior alterations'Davis Painting All work shall comply with applicable codes. Plan details required for restrooms,stairs and ramps.
I
i
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $50,000.00 Plan Approval $0.00 Permit Fee Paid $2,790.90 Park Dedication $0.00
Issued By: Date 03/28/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0304270000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this�ermit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secu any n cessary approvals before sta�#' i h activity.
I have read and un� ' ormation. J
Signature �� Date ���J/� '
AgenUOwner
Address Oshkosh WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P O Box 1130
� Cit�of Oshkosh Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Faac:(920)236-5084
Building Permit Application ����.°Sbkosh.�.ps
r�o��t .
Address ���2 � , �n ,S"� (�Sh�i.6S�
Applicant er Contractor Tenant Other(describe)
Owner/ Name�Ot,r� ._.t"A1v�( /AC�C�D���r� ��L'_a.r'T; .� Phone �'1 ZO— �l Z(n' �6
Tenant
Address � S �. .� S��Email Y',(�,V� ,9� ; �
Contractor Company Name ';S � ',c� r �'n Phone 4?(�-(�'L�-,2�B 6
Contact �cur�l.� �Ow;S Email �c�(�;S�Gt(�,V�5;/�c, ,C.b�
Address ��p� �O G� _�''�. . �S�W✓S h , �J� ��-1 r'/`C�l :
State Credential#'s , , n �013$�
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Regishation#
Achitect/ Company Name C Phone 'Z ?�}- �?�'-�{��
Designer
Contact � hOmc�,S �.0� Email�'LOX ����o c.h'.� Co
Address � \ �; �2 Z (A�'o� �S (
Permit Type Residential Single Family Residential Duplex ommercial Multifamily Industrial
Catagory New Addition Alteration
Project
Description
�(1'�;nc��- C�AI�e�rG'C�on s � ,� Ou��hc,�l
Mechanical Separate permits will be obtained for the following:
Pe��� Electrical by ?� Plumbing by ►��/� Heating by
Valne of Job $��O�QpQ _ � �y��for materials&labor is req.to ensure consistency in accessing permit fees for ail licants.)
Payment by: Check # Cash Permit Fee Account
1 cert�the above information is complete and accurate. A�ry deviations from the above submined information may require odditional permits
to b obtained I acknowledge and agree to these terms.
Name: !��`► V! (Please print) Date: .3'�.Z'�_
.
Signature: