HomeMy WebLinkAbout0155769-Building � CITY OF OSHKOSH No 155769
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1130 N WESTFIELD ST Create Date 05/22/2013
Project Elevator 8�Equipment Room
_ Project Number 20130461
Owner EVERGREEN MANOR INC Plan AA2-3754-0413
Contractor PACKER VALLEY BUILDERS, INC
Inspector Nicole Krahn
Designer
Category 220-Alteration Hospitais&Institutions Type of Plan Alt. Level 2
Zoning R-1 Square Footage
Major Occ Institutional Const Class Type IIB
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design NFPA 13
Occupancy Permit Not 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/Evergreen/Converting the existing closets into an elevator equipment room and installing the elevator in the existing shaft. Installing wall and
ceiling finishes in the basement and first floor elevator lobbys. *'check#34698
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HVAC Contractor Plumbing Contractor
Electric Contractor BEEZ ELECTRIC INC
Fees: Valuation $14,500.00 Plan Approval $0.00 Permit Fee Paid $130.00 Park Dedication $0.00
Issued By: ��n Date 05/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel Id# 1608640000
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 a provals before sta ' uch activity.
I have read and under d the a ore e tione ' ation.
Signature Date �✓ �
AgenUOwner
Address 2277 CLAI VILLE ROAD OSHKOSH WI 54904 - 0000 Telephone Number 920-232-7620
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pertnit 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.
� Cit�of Os�kash p O Box 1130
1 Oshkosh,W!54903-1130
�� Phone:{920)23b-SO50
Fax:(92d)236-5084
Building Permit Application �'•ci.oshkosh.wi.us '
Project
Address 1/�C� �. GJ�,S 7't- :���:�� .''�' � .
Applicant Owoer Contractar Tersant Other(describe)
Owner/ Name .1.v�.-�,�;� �-�--
Tenant Phone
Address �r1-.�r� /'� L,,,/�:�s�.�`"','� r'� �'�, Email
Contractar Com an Name a-c P.- a ,�,5 'f�./
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Email
Address ,'���' 's'{.� t��� .'�er� �''� ��
State Gedential #'s /--5���l.�t7 A°��"��
Dwelling Contractor Qualifier# � DweUing Contractor# � Building Contractor Registration#
Achitect/ Company Name
Designer . Phone
Contact Emaii
Address
Permit Type Residentia) Sin�le Family Residential Duplex Commercia! Multifamily Industrial
Catagory New Addition Alteration
Project
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Mechanical Separate permits wiil be obtained for the foitowing:
Pe�mits ��ectrical by ��'t-�Z Plumbing by Heatin b
b Y
Vslue of Job � f ��
� � (Value for materiAls&labor is req.u�cnsure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
/cer�fv Ihe above injormotioa is comple�e and accurote. Anv deviations from the above submiJted injormation mtry require additiprra/permils
ro be oblained. !ackrrowledge and ogree to these terms.
Name: (Piease princ} Date: '`�� ��1�
Signature�