HomeMy WebLinkAbout0155936-Building (signs) � CITY OF OSHKOSH No 155936
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2215 OREGON ST Owner COYOTE OF WISCONSIN LLC Create Date 05/23/2013
Designer Mark Smith Contractor FLYWAY INC
Inspector Nicole Krahn
Category 254-Signs Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning see ma Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection ,
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs 2
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature :Commercial—install two non-il�uminated wall signs(1 north entrance+1 south entrance)for"Oshkosh Family Dentistry" •"check#18401
of Work
i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation __ $825.00 Plan Approval $0.00 Permit Fee Paid $62.00 Park Dedication $0.00
Issued By:('�� Date 06/03/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1410280000
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 underst e afo mentioned info / :
Signature Date(o'.�/�
AgenUOwner
Address N5528 MIRANDA WAY FOND DU LAC WI 54937 - 9105 Telephone Number 920-921-7181
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 0 Box 1130
City of Os�osh Oshkosh, WI 54903-1130
� Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application "'`'"''''•�'•°Snk°s�.w�.°s :
Project
Address � 5 ��� � � �
Applicant Owner Contractor Tenant Other(describe)
Owner/ N�e ��� ko S� ��\ �Y ��n-�-i S�-r�r Phone ��7 Q`—3/8d'
Teaant
Address Z Z I� Q re n n�� S-f'_ Email
Contractor Company Name. ����c,t,n,v �c o!1 S Phone C{ zD—q L 1— 7 18/
Contact �c��I� SM • � Email /►'/S�ti+i f-!,�F�,,,, ,u,,S�u�S� �+
Address �i.��_� �► ,���,da �.���� �.��r �� �G <<JS, �r��7 .
State Credential#'s , �
Dwelling Contractor Quatifier# Dweiling Contractor# Building Coatractor Registiation#
Achitect/ Company Name Phone
Designer
Contact Email
Address :
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial �
Catagory ew Addition Alteration
Project �'/1 S� I� — c9dt F ��'/ �� 3� �0�� �1O/( — �r U�.�� /l:6�ncf .6'!4�t
Description
- G�b o� � .So �h e�.� �c.���P
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,�/1S�t �� ~' C �'I �7 � q�o y /ID n - l r q 1� �-e.c� �60�rcl S�u�
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Mechanical Separate permits will be obtained for the following:
Permits
Electrical by --- Plumbing by -- Heating by --'
Value of Job a�
$� Z-.�'� (Value for materials dc labor is roq,to ensure consistency in accessing perniit fecs for all applicants.)
Payment by: Check # Cash Permit Fee Account
!cert�the above information is complete and accurate. Any deviations from the above sebmitted information may require addieional permits
to be obeained. I aclrnowledge and agree to tl�ese lerms.
Name: M Cz�(` � S�nn � `}�-� (Please print) Date: �LZ—(� :
Signature.