HomeMy WebLinkAbout0155653-Building (sign) � CITY OF OSHKOSH No 155653
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2167 STATE ROAD 44 Owner QUENTIN/MARY GERLACH Create Date 03/26/2013
Designer Mike Klaus Contractor COLORTECH OF WISCONSIN INC
Inspector Nicole Krahn
Category 254-Signs Plan
Type � Building � Sign � Canopy � Fence 0 Raze I
Zoning M-3 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection �
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
Q Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee _ $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dweiling Units 0 #Structures 0
Use/Nature ommercial—Pylon ground sign alterations and gas canopy sign alterations for"Shell".Existing support poles to remain on pylon and no
of Work hange to the overhall height or setbacks occuring.Gas canopy alterations to include two illuminated signs and red bar per submitted
plans.{UL#HL292892} **check#38604
_ _ �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valua£ n $14,000.00 Plan Approval $0.00 Pertnit Fee Paid $149.00 Park Dedication $0.00
Issued By: �J ► 1 1 W Date 05/15/2013 Final/O.P. 00/00/0000
� Permit Voided � Parcel Id# 1329430200
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 easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address 1011 ASHWAUBENON ST GREEN BAY WI 54304 - 5603 Telephone Number 920337-0660
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.
� �L� O OS P 0�ox l 130
� ,� r��Q�� Ost�.osh,WI 54903-1130
• Phone:(920)236-5050
� Buildi��g �'e�•nr�it.�,pp�ication � �aX:�920�23�-SO84
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Project
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Applica�it 0 O�vner �Contractor ❑ Tenant 0 Other(describe)_
Otivner/ Name �1�&'��Ea2L�'� - !�/i�r�.lc -
Tenan.t ��-��-t'� Phone
Address z��o� ,jT�Q7� ��" 3 3 3 3 S�
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Conti•actm• Com an Name �
P Y .pla2s�,� �F�nu�.J Phone
bQ�Z36-13�1
Contact 4- 5 .
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Addcess d� �.t'�J �% C.�� �,9-Y(�)I
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_ State Credentiat#'s �
Dwelling Conhactor Qualificr ll � Uwelling Contractor N � Building Contractor Reglstration p
Achitect/ Company Name
' Designer Phone
Contact
— Email
Address
Permit Type ❑Residential Single Pamily 0 Residential buplex D Cornmercial Q Multifamily [J Industrial
Catagoiy ❑New O Addition 0 Alteration
Project r---- " r,��� . �s��P S �
Description � �
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Mechanical Separate permits will bc obtained for the foIlou�ing:
Pcrmits ❑ g�ectrical b
y 0 Plumbing by p Heating by
Value afJob $ J��� ----"
,—./ (Value for matcrials&labor is req,to ensure consistency in uccessing pennit fees for all applicants.)
Payment by: ❑ Check # ❑ Cash •
O Permit Fee Account
1 ceriify tlrt abovt Infor�na�ion is coulplete nnd acc�tralt. Any devratioirs from lhe nbove submlrled b fornaalion�na}�regtrfre nddilionol per►iilta
!o be ob�arned I aeknotv(edge mtd ngree lo�hese terms.
Name: .
(Please ptint) Date:� ��L _
Signature: