HomeMy WebLinkAbout0156727-Building � CITY OF OSHKOSH No 156727
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 152 W 28TH AVE Create Date 07/16/2013
Project Storage building __ Project Number 20130501
Owner CRESTWOOD FRAME CO INC Plan
Contractor FOX STRUCTURES
Inspector Nicole Krahn
Designer
Category 240-Commercial Accessory Structures Type of Plan New
Zoning M-3 Square Footage 1260
Major Occ Const Class Type VB
Fire Protection 0 Sprinkled 0 Unsprinkled � Sprinkler Design
Occupancy Permit Required Flood Plain Height Permit
Park Dedication __ #Dwelling Units 0 #Structures 1
❑ Projection ! Canopies Signs
Use/Nature �
of Work
COMM\42'X 30'3-unit mini warehouse storage building.
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $24,000.00 Plan Approval $0.00 PermitFee Paid $226.80 Park Dedication $0.00
Issued By: �7� Date 07/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1412610000
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 und e afo mentioned information.
Signature ��yyh Date
AgenUOwner
Address 2201 EASTLINE RD. PO BOX 528 KAUKAUNA WI 54130 - 0000 Telephone Number 766-9305
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 Box1130
� City of OS���S/G Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application WWw���.oshkosh.wi.Us
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Address 15 Z I� �G 5 � � L�t� �� �
Applicant Owner Contractor Tenant Other(describe)
Owner/ N�e DA J 1� IC 19 J f/L K- Phone �d' Z 3 j' S 7� O
Tenant
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Address � 5 Z ����r �.S� A J � Email
Contractor Company Name �o�v Phone 9ao- 76�� / -3
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Contact � 0 n� ��,��,'0� Email
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Address Z Z�j � �•�., Y, �d K�l.l �.AJ''J�. 1n� L-- �y/ 3 D
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name__ ✓� ��92G Jf- �✓r, ��ti Phone ��t�' S� s- � � 6 3
Designer °'
ContactG.v �J�c. �� ���'�— Email
Address�y5 Z5f1,Sc�fi v���z t�1� [t� (/A ��� �,� . � 3 9 l � �
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � �X � Z �i N 1 � �m,'Z�l1r� u � �Q' ��(
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by � Plumbing by Heating by
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Value of Job $ 2 C� ��U
i (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # �/Sr$� Cash Permit Fee Account
I cert�the above information is consplete and accurate. Any deviations from the above subnaitted information may requir•e additional permits
to be obtained. I acknowledge and agree to these terms.
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Name: /��-+�i:�� (Please print) Date: ��l �v � / �
Signature: �