HomeMy WebLinkAbout2013-Building CITY OF OSHKOSH No 155099
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 515 S WASHBURN ST Create Date 04/11/2013
Project Office Alterations Project Number 20130415
Owner COMPASS PROPERTIES LLC Plan Z2-3707-0213
Contractor DELSMAN CONSTRUCTION SERVICES LLC
Inspector Nicole Krahn
Designer
Category 223-Alteration Offices, Banks, Professional Type of Plan Alt. Level 2
Zoning C-2 Square Footage
Major Occ Business/Office Const Class Type VB
Fire Protection 0 Sprinkled 0 Unsprinkled I Sprinkler Design
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
COMM/Northeast WI Retina Associates/This project is to alter the waiting room area and to do modifications as noted on the plans.
HVAC Contractor CHRISTENSEN HEATING&A/C INC Plumbing Contractor JT SCHMIDT PLUMBING INC
Electric Contractor VAN OFFEREN ELECTRIC LLC
Fees: Valuation $52,000.00 Plan Approval $0.00 Permit Fee Paid
$326.52 Park Dedication $0.00
Issued By: Date 04/17/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0614620000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easem:nt,the City strongly urges the permit applicant to contact the easement
holder(s)and to se ure any n-cessary approvals • fore starting such activity.
I have read and u derstand e afore - tio•e• in ormation.
__Y/ZZA
Signature �� f Date
Agent/Owner
Address 1 432 RAMEKER RD REEDSVILLE WI 54230 - 0000 Telephone Number 863-1484
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
( 7 - - -- i
G P 0 Box 1130
CityCityof Oshkosh kos!L Oshkosh,WI 54903-1130
!L Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address CI S 1. t Q. 54 ht +
Applicant Owner tractor / Tenant Other(describe)
Owner/ Name /V EVL/ g.eT1 A_cL a S 5 O C raJeJ Phone 7 a v , - ?O ( itb 82—
Tenant
rI
Address 5/c I. tt/4 SGT/
Lam--- 5-71. Email
Contractor Company Name D e )5 ry t,, Co,. 5"f. .Ss,ti144*02_5. Phone 72 O Z O t° 4,1/82.._
Contact C t) 4_ VaiL,f,„4 •1_. Email d /1 vs -Q.%..5- ry q,al. C Or-,
Address j 3 i7,12 R a w-R-----`Z-- A ilf cJ/ /(C ( ' S .;>0
State Credential#'s /0 o q5-3—7 , , 4 0IQ cf L't_
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name v k,p D.2 ft
l y w C u 16 Phone 9'..2._d — f72 Z c$
Designer ,j� �- ,0
Contact S�/1-- 1`0 a��i' Email Srto P•%4�Z� Got-,-- �-�. •`-C •
Address 2 v 2— of■ 14/1-a-(\n,
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration) ._ R p /e
Project
Description
Mechanical Separate permits will be obtained for the following: C 1,tisf 4,..se
Permits Electrical by \J4.. o P-Q+-w�. Plumbing by .r- r,-4
......‘..44- Heating by 1-4V(k.
Value of Job $ 5-021 0 0 O (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. I acknowledge and agree to these terms.
Name: 315 ' , t w,..4, ti (Please print) Date: t/Y f (/1 3
Signature: 1L ) L
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