HomeMy WebLinkAbout0156069-Building (sign) �
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� CITY OF OSHKOSH No 156069 s:
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD '
ON THE WATER
Job Address 1901 ALGOMA BLVD Owner CITY OF OSHKOSH Create Date 06/07/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 254-Signs Plan
Type � Building � Sign � Canopy � Fence � Raze '
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection �
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other �
0 Concrete Block � Post � Treated Wood k
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit €
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature Install monument sign per Zoning Administrator
of Work
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5
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,65 Plan Approval $0.00 Permit Fee Paid $97.00 Park Dedication $0.00
Issued By: y�--y � Date O6/07/2013 FinaUO.P. 00/00/0000 �
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❑ Permit Voided� Parcel Id# 1200010000
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 Cit r6 ly ur es the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before sta ' g suc i ' +
I have read and understand the afore mentioned informatio . � /^ �
Signature te �
AgenUO er
Address Oshkosh WI 54901 - 0000 Telephone Number
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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. s
� P O Box 1130
Clty �f OS��OS'� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ��ci.oshkosh.W�.us
Project
Address 1901 Algoma Boulevard, Oshkosh WI 54901
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Catholic Cemeteries of Oshkosh Inc 920-235-7412
Tenant Phone
Address 1025 W 5th Avenue, Oshkosh WI 54902 Email tdonovan@stjudeoshkosh.org
Contractor Company Name G. Reinke & Co. Phone 920-231-0650
Contact Robert Reinke Email
Address 900 S Main St. , Oshkosh WI 54902
State Gedential#'s
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Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name G. Reinke & Co. Phone 920-231-0650
Designer
Contact Robert Reinke Email dobjr@greinheandco.com
Address 900 S Main St. , Oshkosh WI 54902
Permit Type Residential Single Family Residential Duplex Commercia Multifamily Industrial
Catagory New Addition Alteration
Project Add new concrete panel siQn to Riverside Catholic Cemetery
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by PlumbinQ
b bY Heating by
Value of Job 5,650.00
$ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certi.f�the above information rs complete and accurate. Anv deriations fi•ona the above strbmitted tnfor•mation mav r•eguire additional permits
to be obtained. 1 ack�aou�ledge and agree to these terms. /
Name: o M. on (Please print) Date:\��'� /� �/�
Signature: �