HomeMy WebLinkAbout0156683-Building � CITY OF OSHKOSH No 156683
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2006-2020 JACKSON ST Create Date 07/12/2013
Project Tenant Space Alteration ___ Project Number 20120052
Owner 2020 JACKSON STREET LLC Plan AA6-3817-0713
Contractor M-CON CONSTRUCTION INC
Inspector John Zarate
Designer
Category 223-Alteration Offices,Banks, Professional Type of Plan Alt. Level 2
Zoning G2PD Square Footage
Major Occ Business Const Class Type IIB
Fire Protection � Sprinkled 0 Unsprinkled � Sprinkler Design
Occupancy Permit Required Flood Plain Height Permit :
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection I Canopies Signs
Use/Nature
of Work
COMM/2010/Tenant space alteration*for Edward Jones per approved plans. '*check#10318
,
,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valu ion $18,500.00 Plan Approval $0.00 Permit Fee Paid $178.56 Park Dedication $0.00
Issued By: Date 07/12/2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel Id# 1514819800
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 4420 ALRICH AVE S MINNEAPOLIS _ MN 55419 - 1370 Telephone Number 612-824-1293
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.
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P O Box 1130
� 1�it,�f�sll��s� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application `""ry"•�'.°sbk�b."''.°s :
Project
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Address
Applicant Owner Contractor Tenant Other(describe) J U N 2 6 2 013 .
Owner/ Name Efl�w� ��� '����E,..�..�-.c Phone - ncv.�eT,sey-r oF
Tenant
CO�1�TL!�TTY DE�'ELOP>1EVT
Address Email TNSPECTTU�SER�'10E5 DI�'1S1
Contractor Company Name �_LoH �d„�s�,��;.,,, �,,,,� Phone �,t�z��p-sy l3
Contact ���c Email .SeSSe�w.—ednt na.cal�
Address yy�0 �(�,a,e��F}� S _ "�l�y, ^Mn, J�J�'1 l� .
State Credential#'s , , (���(oQ�
Dwelling Contractoc Qualifier# Dwelling Contractor# Building Contractor Registration#
Ac6itect/ Company Name S�ltwaao — �a�n , Phone L(a,—�?�_ �{��Z
Designer
Contact_���� e,�, Ks.�b.a� Email �En�����Ge .�,e�
Address (
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteratio
Project /�
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Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 1 g f��D (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
•►-
Payment by: Check # Cash Permit Fee Account
I cert�the above information is complete arrd accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 acknowledge and agree to these terms. :
Name:_����a,�oM(d T'l-[ N.! Cd►+�EQt,�tar� (Please print) Date: G�e1�—�'�
Signature: �, ��n�� �►[-CeA ��,FR��-.�