HomeMy WebLinkAbout0155712-Building (replace asphalt) � CIT1( OF OSHKOSH No 155712
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1325 GEORGIA ST Create Date 05/20/2013
Project Paving Project Number 0
Owner PLYMOUTH CONG CHURCH Plan
Contractor CR MEYER
Inspector Nicole Krahn
Designer
Category 208-Alteration Churches&other Religious Type of Plan
Zoning R-1 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled 0 Unsprinkled i Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection Canopies Signs
Use/Nature
of Work
COMlfear out and replace asphalt under carport per site plan submitted
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,800.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedication $0.00
Issued By: �'\� Date 05/20/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1306980200
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 re understand the a tioned information.
Signat� Date (5� - 2 Q—� '�
AgenUOwner
Address 895 W 20TH AVE OSHKOSH WI 54902 - 6766 Telephone Number 235-3350
To schedule inspections piease 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
n �lt'�,/ �f OS��OS� Oshkosh,WI 54903-1130
J J Phone: (920)236-5050
� Fax: 920 236-5084
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Building Permit Application �W���.oshkosh.W�.�s
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Phone �3 I - � �� �
Tenant `n�6� -�,r,,,. - .r L
Address 6 r � Email
Contractor Company Name C )� m�� .�,� Phone
Contact Email
Address
State Credential#'s , �
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project -
'Q h f+r [+ �\.t V c C e� \l�v� C� t Y 0.1r t� Y �
Description ,
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ g �� Q(� Value for materials&labor is re to ensure consistenc in accessin
� 4• y g 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: (Please print) Date:
Signature: