HomeMy WebLinkAbout0154614-Building � CITY OF OSHKOSH No 154614
; �
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1870 STILLMAN DR Create Date 03/04/2013
Project File Room _ _ __ _ _ Project Number 20130359
Owner CORRIM COMPANY LLC Plan
Contractor JML CONTRACTING AND MAINTENANCE
Inspector John Zarate
Designer Tom Karrels
Category 211 -Alteration Industrial Type of Plan
Zoning M-3 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled
� Sprinkler Design '
Occupancy Permit __ Flood Plain Height Permit
Park Dedication ___ _ #Dweliing Units 0 #Structures 0
❑ Projection Canopies _ Signs
Use/Nature
of Work
ICOMM/Creating a new file room. Install two walls to create the room. Drop ceiling. Sprinklers will be reworked to meet code requirements. Pace
Corp will be taking care of the fire protection.
'I ,
HVAC Contractor __ _ _ _ Plumbing Contractor
Electric Contractor
Fees: Valuation _ $27,OOOAO Plan Approval $50.00 Permit Fee Paid $149.04 Park Dedication $0.00
Issued By: Date 03/04/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1225000100
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 w i n easement,the City strongly urges the permit applicant to contact the easement
holder(s) secure any neces ary pprovals before starting such activity.
I have rea and u derstand the fore entio d information.
Signature ^'— Date ��
AgenUOwner
Address 0 _COUNT CLUB RD _ OSHKOSH __ WI 54902 - 9155 Telephone Number (920)379-0499
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�l�y �f�S���S� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fa�c:(920)236-5084
Building Permit Application "W"'��'.°Shk°Sh.w;.°S
Projecr
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name ^ Phone
Tenant ,
Address �� Q �T!�,iyy��j� Email -
Contractor Company Name --�U� L ��.�T,P.� �/� Phone �- 7 p _ �
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Contact����'��fi�JL� Email Wl, (r T�1:
Address 7��`1 ���s��T��-�,/� �� ���/��dz '
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name T� �,,/��l.iC,��.5 � Phone
Designer
Contact .���Q� ����lj_ Email
Address
Permit Type Residential Single Family idential Duplex Commercial Multifamily Industrial
Catagory New Addition lteration
Project i ..i •� — �
L,�����L�—�i-',O ��r"G �%� ���./�r,G S °�—
Description , ��
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./�f��D�/ _�-�.li�� ' /-�L/�c� �
Mechanical Separate permits will be obtained for the following: ��� ��� ����� ����1�:�:
Permits Electrical by Plumbing by Heating by
Value of Job $��� �J�� �alue for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check #��5� 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. I acknowledge and agree to these terms.
Name: �/yy� /lj ���/� (Please print) Date: �j— �L �j�
—� .
Signature: