HomeMy WebLinkAbout0156325-Building (create vestibule) � CITY OF OSHKOSH No 156325
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1080 N WESTFIELD ST Create Date 06/20/2013 :
Project Construction of Vestibule Project Number 20130506
Owner EVERGREEN VILLAGE Plan
Contractor PACKER VALLEY BUILDERS, INC
Inspector Nicole Krahn
Designer
Category 220-Alteration Hospitals&Institutions Type of Plan
2oning R-1 Square Footage '
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design '
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0 '
� Projection j Canopies _ Signs
Use/Nature
of Work
,COMM/Evergreen Village-Village 200/Enclosing the new entry to create a vestibule. There is existing foundation walls and an existing roof structure
jover this area.
C(nk� 3�1703 '
- '
HVAC Contractor Piumbing Contractor
Electric Contractor
Fees: Valuation $6,000.00 Plan Approval $50.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: ^�/Vl Date 06/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided�I Parcel Id# 1608640200
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 wit ' the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any s ary app before st ing such activity.
I have rea nd un rsta d th e en' e informatio
Signatur Date � a� �
AgenUOwner
Address 2277 CLAIRVILLE ROAD OSHKOSH WI 54904 - 0000 Telephone Number 920-232-7620
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.
J►w�ct1-'`�- ?�_"° � �.,� C�,"`r�'7 :
P O Box1130
� �l{-y �f OS���S� Oshkosh,WI 54903-1130
� �� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �W��.oshkosh.W�.us
Project �y / /�
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Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �v�Z r','l'C� �°�l Phone
Tenant
Address ��3� /I/;. G��,s� c���� �� Email
Contractor � l'l ,� 'l� , a,3�� �(,��
Company Name GlC- �< E'� Cc. e u, P�� Phone
Contact ���\u Email l�,X.X�` �4��ZZS
Address o?o� �� C/GP��i�vi l�e 0�,� �h KOS' � f�� �-�/����
State Credential#'s /�c/��� , �gl� ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# '
Achitect/ Company Name Phone '
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamil Industrial
Catagory New Addition Alteration
Project �'I1GlC�.4� I?C�w C',rz 7�ry �P�.�,�k�C d.� P Sc;S '��, � �'�ti ;
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by �-�Z Plumbing by �/� Heating by /�i�i2
Value of Job $ �`� (Value for materials&labor is req.t ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 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:
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Signatu •