HomeMy WebLinkAbout0157312-Building � CITY OF OSHKOSH No 157312
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1508-1550 S KOELLER ST Create Date 08/20/2013
Project WHITE BOX ALTERATION-CLOSET Project Number 20130528
Owner 2323 EAST CAPITOL LLC Plan
Contractor OLYMPIC REALTY CORP
inspector Nicole Krahn
Designer
Category 232-Alteration Stores 8�Customer Service Type of Plan
2oning C-2PD 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 � Canopies Signs
Use/Nature
of Work
COMM/1512 S KOELLER/White box alteration of the sprinkler riser closet along the front wall of the store in preparation for the new Sports Authority.:
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,500.00 Plan Approval $50.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: �� Date 08/20/2013 Finai/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1308500400
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 necessa approvals before starting such activity.
I have read and understa e af ine tioned i .
Signature Date r
genUOwner
Address 300 N MAIN ST STE 200 Oshkosh WI 54901 - 0000 Telephone Number 262325-2046
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 specifed 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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� Cit�of Oshkosh N��,�. %���. P O Box 1130
Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �.�l.oshkosh.�.us
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Address �
Applicant Owner ontractor Tenant Other(describe)
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State Credential#'s /Q g'�,S,�'.5� , �'6 �3//.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 lteration
.
Project -
DescripNon
L r.
Mechanical Separate permits will be obtained far the following:
Permits Electrical by Plumbing by Heating by
Value of Job /�'" �-
$ �� Q �� (Value for materials 8c labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify the above information is complete and accurate. Any deviations from the above submined information may require additional permits
to be obtained. I acknowledge and agree to these terms.
N3me: (Please print) Date:
Signature: