HomeMy WebLinkAbout0156590-Building (tanning bed room partitions) � CITY OF OSHKOSH No 156590
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1925 JACKSON ST Create Date 06/28/2013
Project Tanning bed room partitions Project Number 20130513
Owner JACOBSON AUTOMOTIVE HOLDINGS LLC Plan File
Contractor OWNER
Inspector John Zarate
Designer
Category 232-Alteration Stores&Customer Service Type of Plan
Zoning see ma Square Footage
Major Occ Const Class
Fire Protection � Sprinkied � Unsprinkled � Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection � Canopies Signs
Use/Nature
of Work
COMM/Nutrition Supply/Tanning bed room partitions*8'x 15'area for 2 rooms.
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval $50.00 Permit Fee Paid $30.00 Park Dedication $0.00
Issued By: Date 07/08/2013 Final/O.P. 00/00/0000
❑ Permit Voided j Parcel Id# 1218920000
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 rs re ntioned information. —
Signatur � Date � -�'0�13
AgenUOwner
Address _ Oshkosh WI 54901 - 0000 Telephone Number
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 Oshkosh Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ����.oshkosh.w;.�s
Project �
Address � , �jOv( f �� �� li✓�- �(�1
Applicant Owner Contractor enant Other(describe)
Owner/ Name �P vYl e�(�iU,s /�-I�(o,s Phone
Tenant �a� `�3� '�5d
Address_lC'f a� �UC I�,}av� J�l`�( Email L/1Sl�'tU✓�Sv, l C�I�tr Gnl � � �y
Contractor Company Name ��e� � Phone
Contact Email
Address
State Credential#'s , ,
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 �'� f/1/Gl r ?�' ` G f i � � ,
Description
Mechanical Separate per►nits will be obtained for the following:
Permits Electrical by��T1� k�{��L�j�Plumbing by Heating by
Value of Job $ �� , � (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 and accurate. Any deviations from the above submitted information may requare additional permits
to ta� ed. 1 acknowledge and a ree to these terms.
Nam . � � �/(f CJ-�� (Please print) Date:� � �U � � �
Signature•