HomeMy WebLinkAbout0156646-Building (modifications) � CITY OF OSHKOSH No 156646
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 375 N EAGLE ST Create Date 07/11l2013
Project Building Modifications Project Number 20130521
Owner OSH AREA SCHL DIST WEST HIGH Plan
Contractor GARTMAN MECHANICAL SERVICES
Inspector Nicole Krahn
Designer
Category 140-Interior Remodeling Type of Plan
Zoning 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 I Canopies Signs
Use/Nature
of Work
COMM/Oshkosh West High School/Building modifications to prepare for the heating installations to include new concrete pads,patching floors and ,
structural modifications per the state approved hvac plans.
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i :
HVAC Contractor Plumbing Contractor
Elect�ic Contractor
Fees: Valuation $39,479.00 Plan Approval $0.00 Permit Fee Paid $230.00 Park Dedication $0.00
issued By: i Date 07/11/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel id# 1608720100
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 520 W SOUTH PARK AVE Oshkosh WI 54903 - 0000 Telephone Number 740-9288
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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
Cl�y �f�s!L��s!L Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �W���.oshkosh.W�.Us
Project �.S'��1���lI/�.����� � ���� �✓��C? �C
Address / l � `� �
Applicant Owner Contractor Tenant the (describe) /
Owner/ Name /� ��!6�� � l3( �f,f"- �l �Phone
Tenant
Addre � Email DEPART�3E�T OF
CLlYL1I�r�rTV nEt rr nv�tFVT
Contractor Company Name C.J G'Phon � �
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Address�Cs� ������j�- , y�� -
State Credential#'s � �� �����9
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Dwelling Contractor Qualifier# Dwelling Contractar# Building Contractor Registration#
Achitect/ Company Name � � '� �„i,/ � �,�= �
Designer
Contact .i�i�� -,.5�� Email Q�,d'-G �r����"�?�
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Address- .. �. �lJ,� � � � � �
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �'�� �
Description
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Mechanical Separate permits will be obtained for the following: ��- /
Permits Electrical by ��t�'� Plumbin b �/����'`
g y ,i � Heating by�/.%�-'�� �`"/�
Value of Job j�
$ 7" (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete a ccur e. Any deviations fro e above submitted information may req ire additional per s
to be obt 'ne . I aekn 1 ge a a e to t se t ms. r���„/' ��> �
Name: ���� se print) Date: � �i
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Signature: = t7/