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� CITY OF OSHKOSH No 156327
�
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3100 ELK RIDGE DR#C _ Create Date O6/19/2013 ��_f�_�� �
Project Basement remodel. _ _ _ _ _ _ Project Number 20130502 �
Owner MIDWEST GENERAL CONTRACTORS Plan
Contractor K DECKER BUILDERS
Inspector Nicole Krahn
Designer
Category 132-Multi-Family Alterations Type of Plan
Zoning _ Square Footage
Major Occ Const Class �
Fire Protection 0 Sprinkled � Unsprinkled
� Sprinkler Design __
Occupancy Permit _ Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
❑ Projection j Canopies _ Signs
Use/Nature
of Work
OMM/Basement remodel for unit C. Creating a bedroom,bathroom, living room and 2 unfinished areas for a mechanical room and storage area
per submitted plans. No alterations made to existing beams/supports. Bathroom will have mechanical ventilation installed. Smoke and CO
�etectors will be installed. Egress window in place already. Separate electrical, plumbing and HVAC permits will be obtained. If alterations will be
made to the sprinkler system that information will be provided. All construction shall comply with State and local codes. I
I jl
HVAC Contractor GRANT SCHULTZ HEATING&COOLING Plumbing Contractor SBS PLUMBING LLC
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation _ $16,000.00 Plan Approval $50.00 Permit Fee Paid $138.42 Park Dedication $0.00
Issued By: Date O6/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel Id# 1329610202
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 4614 RED FOX RD Oshkosh WI 54904 - 0000 Telephone Number 379-8008
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 15s32�
�
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3100 ELK RIDGE DR Create Date 06/19/2013
Project Basement remodel. Project Number 20130502
Owner MIDWEST GENERAL CONTRACTORS Plan
Contractor K DECKER BUILDERS
Inspector Nicole Krahn
Designer
Category 132-Multi-Family Alterations Type of Plan
Zoning 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/Basement remodel for unit C. Creating a bedroom, bathroom, living room and 2 unfinished areas for a mechanical room and storage area
per submitted plans. No alterations made to existing beams/supports. Bathroom wiil have mechanical ventilation installed. Smoke and CO
etectors will be installed. Egress window in place already. Separate electrical, plumbing and HVAC permits will be obtained. If alterations will be
made to the sprinkler system that information will be provided. All construction shall comply with State and local codes.
HVAC Contractor GRANT SCHULTZ HEATING&COOLING Plumbing Contractor SBS PLUMBING LLC
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation $16,000.00 Plan Approval $50.00 Permit Fee Paid $138.42 Park Dedication $0.00
Issued By: Date 06/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#
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 understa d t re mentioned information.
Signature Date 6'" Z�'' ��
AgenUOwner
Address 4614 RED FOX RD Oshkosh __WI 54904 - 0000 Telephone Number 379-8008
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 O Box 1130
� ��� � ������� Oshkosh,WI 54903-1130 z
y f Phone: (920)236-5050
� FaY:(920)236-5084
Building Permit Application �W���.oshkosh.wi.us
Project � � !� 0 ����C�l�G� IC /l.��f= �-//Ll/�" �
Address
Applicant r Contracto Tenant Other(describe)
Owner/ Name ��T�2 � ���.1 G-� w G R-1,l4 i•.! D Phone ��(,o -- �d 3 j
Tenant
Address 3 l D� C-.L���p G C t-1 ti..l lT G Email
Contractor Company Name (� �-��_K�r ��-1/(-fJ�(LS Phone 3��- 4 OG �
Contact (��L'f'h Email
Address ��l`I !�-��� l'd.x. 2� �s�K��(-�
13 6 C,� 5 r« ,�{
State Credential#'s , �ZZ l l�-1 `� ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building ConVactor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family sidential Duplex Commercial Multifamily Industrial
Catagory New Addition lterati
Project �1 IU[ �'l-� �/�?S�� ��-�'" !N �'G�,/a�G
Description
[ [3 � 2� , l �3�2T/J I4Nr� Z�V��+vG /'��-L.�
Mechanical Separate permits will be obtained for the following: �2Ar.lT
Permits Electrical by �-� t.�Lt..AQ, Plumbing by 5 r3 S Heating by S c,Nut�T2�
Value of Job
$ '��vC� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # �0 k� 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: (Please print) Date:
S ignature: