HomeMy WebLinkAbout0156246-Building (build out) � CITY OF OSHKOSH No 15s2as
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1810-1816 JACKSON ST _ Create Date 06/18/2013 -S_ 3�yy�
Project Pizza Hut Build out
- _ ___ ________ _ __.._ __ ___ Project Number 20130498
Owner FAIR ACRES LLC/MAJERS LLC Plan
Contractor ALLIANCE CONSTRUCTION&DESIGN
Inspector John Zarate
Designer Destree Design Architects
Category 203-New Amusement,Social, Recreation Type of Plan Alt. Level 3
Zoning G2PD Square Footage
Major Occ Business Const Class Type VB
Fire Protection Q Sprinkled � Unsprinkled
� Sprinkler Design __
Occupancy Permit Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection I Canopies Signs
Use/Nature
of Work
MM/Pizza Hut Build out'/1814 Jackson SU Per approved plans.
- - - - ---- --- -
I
HVAC Contractor Plumbing Contractor
Electric Contractor '
Fees: Valuation $107,007.00 Plan Approval $0.00 Permit Fee Paid $240.66 Park Dedication $0.00
Issued By: Date O6/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1514970200
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 1030 ORLANDO DR DEPERE WI 54115 - 0000 Telephone Number 920-660-1998 '
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.
� CITY OF OSHKOSH No 156246
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1810-1816 JACKSON ST Create Date 06/18/2013
Project Pizza Hut Build out Project Number 20130498
Owner FAIR ACRES LLC/MAJERS LLC Plan
Contractor ALLIANCE CONSTRUCTION&DESIGN
Inspector John Zarate
Designer Destree Design Architects
Category 203-New Amusement,Social, Recreation Type of Plan Alt.Level 3
Zoning G2PD
Square Footage
Major Occ Business Const Class Type VB
Fire Protection � Sprinkled � Unsprinkled
Sprinkler Design
Occupancy Permit Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection j Canopies Signs
Use/Nature
of Work
ICOMM/Piva Hut Build out'/1812 Jackson SU Per approved plans. .
I
i
,
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $107,007.00 Plan Approval $0.00 Permit Fee Paid $240.66 Park Dedication $0.00
Issued By: _Q� Date O6/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel id# 1514970200
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 befpre starting such activity.
I have read and un e tand the,�fore mentioned information.
Signature Date h v��" ��
AgenU wner
Address 1030 ORLANDO DR DEPERE WI 54115 - 0000 Telephone Number 920-660-1998
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.
� Cit1 of Oshkosh P o BaX 1130
Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application ����.oshkosh.,�.us
Project
Address 1810 Jackson Street
Applicant Owner Co tor Tenant Other(describe) Interior suildout
Owner/ Name wisconsin Hospitality Group PhOrie 414-266-5177
Tenant
AdC�TesS2120 Pewaukee Rd Waukesha WI 53188 Email ann.giuliani@whgroup.com
Contractor CompanyNameAlliance construction � Design Phone 920-336-3400
ContactTravis Zimmerman Email travisc�alliancebuilds.com
Address 1030 Orlando Drive DePere, WI 54115
State Credential#'s 1107940 , 1107939 � 1107939
Dwelling Conh�actor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ CompanyNameDestree Design 7�rchitects, Inc. Phone 608-512-1883
Designer
Contact Jeremy Cynkar Email 7 eremy@destreearchitects.com
Address222 W. Washington Ave. Suite 310 Madison, WI 53703
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project Existing Shell V-B. No seating. Under 50 occupants.
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Allied Electric Plumbing by Jim's Plumbing Heatjng byEngebos Heating & c o�
Value ofJob io�, oo�.o0
$ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 5352 Cash Pernut Fee Account .
1 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: Travi s Z imme rman � (Please print) Date: 6/1 S/2 013
Signature•