HomeMy WebLinkAbout0155895-Building (partition commercial space) � CITY OF OSHKOSH No 155895
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 502 504 N MAIN ST Create Date 05/31/2013
Project Partition of space Project Number 20130470
Owner WAGNER OPERA HOUSE LLC Plan
Contractor LARSON MANAGEMENT&MAINTENANCE LLC
Inspector John Zarate
Designer
Category 140-Interior Remodeling Type of Plan
Zoning C-3D0 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit _ Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection i Canopies Signs
Use/Nature
of Work
COMM/Partition of commeraal space per plans.
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: ��^ Date 05/31/2013 Final/O.P. 00/00/0000
❑ Permit Voided I, Parcel Id#0401080000
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 unde nd the afore mentioned information. /
Signature ��.�,�_. Date �r i.� �3
AgenUOwner
Address 5131 SAND PIT LN OSHKOSH WI 54904 - 0000 Telephone Number
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website;http://dnr.wi.gov/air/compe�f/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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.
� P O Box 1130
City of�S!L�OS!L Oshkosh,WI 54903-1130
� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application �W���.oshkosh.W;.�s
Project � �,.Z N �G��
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name t� W�q h Br � Per�1 _ L�.-G Phone �7o p '-Z 3� � b � 5�
Tenant
Address �j(5 Z � �G l h Email
Contractor Company Name��� �Gr��c��,,�fy}- ,A��_�(,(,�phone �20 ��7�I- q Zs7
Contact�U�v�q,� �-GV'StTr� Email 1.CIYS o,n Yy1;�.�,I.LL gr,nu,L
Address J�3( _�A�1f� �i�' GA'�'1 Q. O��.S1r1 ��, �����
State Credential#'s , � ' I � ��7
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 " � - '
Description
�Gr�h�t,or� o-� �.x�+��►�, c a��e�c��►c� s�G� ,
Mechanical Separate permits will be obtained for the following:
Permits Electrical b Plumbin b
Y g Y Heating by
Value of Job
$ � d�� (Value for materials&labor is req.to ensure consistency in accessing 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: �A�'�a� � LQt��i,-� (Please print) Date: �l3�/('7,
Signature: �� �