HomeMy WebLinkAbout0155622-Building (sign) � CITY OF OSHKOSH No 155622
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 715 N MAIN ST Owner WILLIAM/ADA K THIMKE Create Date 05/13/2013
Designer Contractor WITZKE ELECTRIC INC-SIGN
Inspector John Zarate
Category 254-Signs Plan
Type 0 Building � Sign � Canopy 0 Fence � Raze I
Zoning see ma Class of Const: Size 12 SF
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs 1
Foundation � Poured Concrete 0 Floating Slab � Pier � Other
0 Concrete Block 0 Post � Treated Wood '
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature Commercial—install one s/f illuminated EMC sign on south elevation for'Tortilla Flats" '*debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $69.00 Park Dedication $0.00
Issued By: `� Date 05/14/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1004330000
In the performance of t is ork I agre t perForm a ork pursuant to rules governing the described construction.
While the City of Oshk s has no au h ity to enfor easement restrictions of which it is not a party,if you perform the work
described in this permit ap lication wi hi an easem ,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure n necessa a provals be e starting such activity.
I have read and unders nd the afore t' ned inf tion.
Signature Date
Agen ner
Address 155 E PACKERAVE OSH SH WI 54901 - 1659 Telephone Number (920)235-6572
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.
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Project �
Address
Applicant Owner Contracto Tenant Other(describe)
Owner/ Name � �
Tenant Y �- S � �7 S Phone �
Address_� l� � . �( � S� Email
Contractor Company Name � � � � �
Phone_ �j�j �p��
Contact _ �Cj�� {'`' `�� (_(�j r= �?--� Email J �'1' W �Z�
_ I n I�D�Tµu ,�F,�'
Address C�C' U � �
State Credential#'s ��� / ���/ ,
Dwelling Contractor Qualifier# � Dwelling Contractor# � Buildmg�Contractor Registration#
Architect/ Company Name �
Designer Phone
Contact Email
Address
Permit Type Industrial Commercial Multifamil ,i, .� �E �
Cate o �
g ry Ground S1gn(Pole/Monument) all Sign(<lg��from wall face Projecting Sign(>18"from wall face)
Project
Description
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Mechanical Separate permits will be obtained for the following: �'-t L
Permits Electrical by iJL Numbers — �C-�/ f(/ I
Value of Job $ 2G�� T �
(Value for materials&labor is req.to ensure consisten in accessing permit fees for all applicants,) I
Payme t by: Check # '
Cash P rmit Fee Accoun
I certify the a ve informat n mplete d accurate. y deviations from the above submitted information may require additional permits to be i
obtained. I ac ow�dge an a to thes rms, '
Name: V�.✓� �- � �
(Please print) Date: ��� �� /� i
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Signature: y� ,
1/25/2012 '