HomeMy WebLinkAbout2013-Building (sign) � CITY OF OSHKOSH No �ssss2
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD '
ON THE WATER :
Job Address 3735 S WASHBURN ST Owner ZBW LLC Create Date 05/07/2013
Designer Sheri Omernik Contractor ORDE SIGN 8�GRAPHICS INC
Inspector John Zarate
Category 254-Signs Plan
Type � Building � Sign 0 Canopy � Fence � Raze _J
Zoning M-1 PD Class of Const:
Size
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 � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood
Occupancy Pertnit Not Required Occupancy Fee _ $0.00 Flood Plain __ Height Permit Not Required
Park Dedication Not Required #Dweiling Units 0 #Structures 0
Use/Nature �Commercial/Sign'-install d/f illuminated pylon sign and wall for"Big Rig Chrome Shop". � �� �Dp�� �L (��
of Work I � #5 � a
i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $35,000.00 Plan Approval $0.00 Permit Fee Paid $337.50 Park Dedication $0.00
Issued By: Date 05/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided; Parcel Id# 1366500100
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 me tioned information.
Signature ��� . ��Q Date S l �o ?�(3
AgenUOwner
Address 1825 NIMITZ RD DEPERE WI 54115 - 9035 Telephone Number (920)339-4600
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
� �'lt'�,/ �f Os���s� Oshkosh,WI 54903-1130
J J Phone: (920)236-5050
� Fax:(920 236-5084
)
Building Permit Application �w���.oshkosh.W�.us
Project
Address -3 1 3� �l�S�bu r n S-�-r c r f
Applicant Owner ontractor Tenant Other(describe)
Owner/ Name (�1 cr �2rc; e hV� rvl c s�v � Phone ��i 20 7 b�' �'j l n 1 r
Tenant
Address 3�7 35 �jasl,b�„n Email '�ror1 t� �,� f�,o
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Contractor Company Name Q�p E �c, �(',��;�� Phon� �2.b) 33�-y(0 2�
Contact s�e�r� Ow�e+r nil� Email �yi�r i C� O rcI P�C��"
Address ( �2S N 1 VV)i}-L p r j�
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 ommercial Multifamily Industrial
Catagory New Addition Alteration
Project
Description p`^�M s U,� .
ChC�.+,h t I I�t.-I-�,�s �
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 3�--G�
r (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: S�I e v i Q L (Please print) Date: 5' I lQ r'J�(3
T
Signature: