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Home My WebLink About0156697-Building � CITY OF OSHKOSH No 156697 � OSHKOSH COMMERCIAL BUILDING PERMIT -APPUCATION AND RECORD ON THE WATER Job Address 500 S OAKWOOD RD Create Date 07/03/2013 Project Remodel 2nd Floor OB Suite _ Project Number 20130518 Owner MERCY MEDICAL CENTER OSH INC Plan Z6-3807-0713 Contractor BOLDT OSCAR CONSTRUCTION Inspector Nicole Krahn Designer Category 220-Alteration Hospitals 8�Institutions Type of Plan Alt. Level 3 Zoning C-1 PD Square Footage Major Occ Business Const Class Type IIB Fire Protection � Sprinkled 0 Unsprinkled � Sprinkler Design NFPA 101 2000 Occupancy Permit Not Required Flood Plain No Height Permit Not Required Park Dedication Not Required #Dwelling Units 0 #Structures 0 � Projection I Canopies Signs Use/Nature of Work OMM/Mercy Medical/Remodeling the 2nd floor OB suite. This will be a three phase remodel with a new reception and waiting area,new added xam rooms,added procedure room and updated ultrasound rooms. A new conference room will be added and a nurses work area. "*check 130946 ' I HVAC Contractor TWEET GAROT MECHANICAL INC Plumbing Contractor TWEET-GAROT MECHANICAL INC Electric Contractor PIEPER ELECTRIC INC Fees: Valuation $393,201.00 Plan Approval $0.00 Permit Fee Paid $2,236.50 Park Dedication $0.00 Issued By: � Date 07/15/2013 Final/O.P. 00/00/0000 ❑ Permit Voided � Parcel Id# 0613660000 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 PO BOX 419 APPLETON WI 54912 - 0000 Telephone Number 739-6321 : 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 1�1t'�f QS��S� Oshkosh,WI 54903-1130 � Phone:(920}236-SOSU Fax:(920)236-5084 Building Permit Application ��yci.oshkosh.w�.Bs Project + , � � Address S�GO 5, �.wa� Applicaat Owner ontractor Tenant Other(describe) Owner/ Name �w.` t,�; d Phone /oZD �o'2a'3 �Q�q,� Tenant Address $�ClJ s. D�� Email Qib at�;w: Contractor Company Name �f�1� �jd� ��,.,�/,�d,w•' Phone �o'�- o'LZ.S'-G/G'� Contact L�ot�1 l"l��ll.� Email Cof�, µt��Is,t'Q-��,Goa�t Address o2Sa�L� ✓l�, �ot,�[if Ke�._ � ��•�• W� S79/oZ State Credential#'s , , Dwetling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name �� Phone �Jy- �7$ .� 3 3$p Designer Contact (r-a,,P.J K;,�zG� Email q�C.�.•�ta{Yv �R,Go�,,.� Address 3 � ; � 3�p Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteratio Project �, �e.t� 0� P`.�wo�e�l d�f- er�..^�� D� S�T� � Description /�/t�'� �t..Gt.��'w� t �.3w.4-:vu� fa.r'tA � lA f_�•� (� (�9te�►s.. : �701�5 et.d�. o�,c,.S� �v/�Ld I�Blx.K � / � \ � ��v—Sa��► r0 Z.L.�-S �t.� Co M�tl�lll�GG J�Dvvl G�w..� Vl��l�04 .��sol�. D-�'G�_ Mechanical Separate permits will be obtained for the following: Permits Electrical by t�i t.r Plumbing by� - (�a Heating by t '� val°e°f J°b s 3 9 3, a or .ba (Value for materials&labor is req.to ensvre consistency in accessing permit fees for all applicants.) Payment by: Check # Cash Permit Fee Account I cert�the above infonnatian is complete and accurnle. Any devialions from the above submitted information may require addilional permits to be obtained. I acknowledge�a)nd agree to these tenns. � Narae: C�! lr. /�� 1�`G� (Piease pr;nt) Date: �i .?rl//3 Signature: