HomeMy WebLinkAbout0156208-Building (signs) � CITY OF OSHKOSH No 156208
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2017 JACKSON ST Owner FAMILY DOLLAR STORES OF WISCONSIN INC Create Date 05/23/2013
Designer Tim Cullen Contractor TIMS LIGHTING CO INC
Inspector
Category 254-Signs Plan
Type � Building � Sign � Canopy � Fence � Raze j
Zoning C-2 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 3
Foundation � Poured Concrete � Floating Slab � Pier 0 Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature !Commercial--install two illuminated wall signs and one d/f illuminated pylon sign per plans for"Family Dollar'. {UL#'s
of Work 'HL229641-HL229647} *'check#11270
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $13,740.00 Plan Approval $0.00 Permit Fee Paid $149.00 Park Dedication $0.00
Issued By: Srn��/V Date O6/14/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1219090100
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 mentioned information.
Signature Date
AgenUOwner
Address N7255 32ND CT WEYAUWEGA WI 54983 - 5663 Telephone Number 920-867-4852
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.
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� CitJ of Osh�asb P O Box 1130
� Oshkosh,Wi 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application "'"'"'•��°Sbk°S".w�.°S
Project 2'`�0! ?
Address � (�J( CLC�.�Ok St. �7(�,c � lQ�(
Applicant Owner ontractor Tenant Other(describe)
Owner/ Name Q t �^ ,
Tenant --� �! �Y `��es � Phone
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Address � {� �� p �, R C„ Email
Contractor Company Name�(� SI(�Y� C�tL`.(}�irns �iGil�nG � Phone q� -��(-t�4-'�,,`}���r�q�j
Contact�ji fY► ('ll.�� 4`� Emai��+'�'1�-�'�CSlGY�•(=G�
Address�� �i�.�(���(�F'r l(�{
State Credential#'s , , `� ��G"� ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Resideirtial Single Family Residential Duplex Comm ial Mulrifamily Industrial
Catagory New Addition Alteration
Project
Description
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Mechanical Separate permits wil!be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $_�3�, d� (Value for materials&labor is re .to ensiue consisten
q cy in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
!cerl�the above injormation is complele and accurate. Any deviations from the above submitted informcrtion may require additiorral permits
to be obtained I acknowledge and agree to t ese terms.
Name: S (Please print) Date: �'j �G -� f 3
Signature:
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