HomeMy WebLinkAbout2013-Building CITY OF OSHKOSH No 154988
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 155 N SAWYER ST Owner FOSSO/GELHAR Create Date 04/09/2013
Designer Contractor ENVISION BUILDING
Inspector Nicole Krahn
Category 223-Alteration Offices,Banks, Professional Plan
Type • Building 0 Sign O Canopy O Fence O Raze
Zoning C-2 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 O Floating Slab O Pier 0 Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature COMM\Alterations for new chiropractic office-removing and replacing interior surfaces+moving 5 non-bearing walls
of Work
HVAC Contractor A&BE HEATING AND COOLING Plumbing Contractor
Electric Contractor SCHEIDECKER ELECTRIC SERVICE
Fees: Valuation $40,000.00 Plan Approval _ $0.00 Permit Fee Paid $230.00 Park Dedication _ $0.00
Issued By: ..eiz. Date 04/09/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0608770100
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 unstan the fore mentioned in formation.
Signature 27,� ' Date ("1//`7 /7
Agent/Owner
Address 5374 WHITE CAP CT OMRO WI 54963 - 0000 _ Telephone Number 920-740-0908
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
City of Osfikosli Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project C
Address 15 4 . S i�. 7 e J
Applicant Owner (.�/ r /or Tenant Other(describe)
O wne / Name <J0t' <' ..et,' Phone 19�v — y;?D 7 1.3C/
Tenant ( r SAL Address ''CL) C(4 7 $1bvi4 CI IJAc f 6Jr'�1�Email
Contractor Company Name ril cii 5/'as-7 /�c,, /a//n) 4/( Phone /'920" 7`/0 - 650ff
Contact iny# F-7,94) J i4 Ai Email i /
4 xho 1✓i /7 i
Address 5379 C�l)'1.'"7LP C`i_' C71- an,',.:' t-- &)/ 5-W‘5
State Credential#'s '5.� 6,5—8 , / +a?g d o
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex (Commercial) Multifamily Industrial
Catagory New Addition (Alteration
Project " Y"10`t(f)• is f ��� I I � i;�n0(cj �I14�P(l tir) 1� �-�5� k four i ci V1 C)
Description (c) 1
f V1 o v7 - 6 a�'1 V► L&J'-k l (s r A In c� r ( Q(<4 l l-.1 l �'1
VI-euJ pv OC}a t.'T
Mechanical Separate permits will be obtained for the following:
Permits Electrical by 12 .53 3 N Plumbing by Heating by /2/ 70
Value of Job
$ �b1 Do��, '.2 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 34....1-0- 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: r "t I' _ : i (Please print) Date: //) /5
Signature: 2;/-7-f'-` i, / i -
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