HomeMy WebLinkAbout0156948-Building � CITY OF OSHKOSH No 156948
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1130 N WESTFIELD ST Create Date 07/29/2013
Project REMODEL UNIT MN1011 Project Number 20130554
Owner EVERGREEN MANOR INC Plan
Contrector PACKER VALLEY BUILDERS, INC
Inspector Nicole Krahn
Designer
Category 220-Alteration Hospitals&Institutions Type of Plan
2oning R-1 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 I Canopies Signs
Use/Nature
of Work
COMM/UNIT MN1011 REMODEU Remodeling the unit to include removing a wall in the kitchen and creating a half wall. Installing new soffits,
cabinets and countertops in the kitchen. Patching drywall to maintain tenant separation.
HVAC Contractor Plumbing Contractor J RASMUSSEN PLUMBING INC
Electric Contractor BEEZ ELECTRIC INC
Fees: Valuation $12,000.00 Pian Approval $0.00 Permit Fee Paid $112.00 Park Dedication $0.00
Issued By: Date 07/29/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1608640000
In the performance of this work 1 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 appro Is before starting such activity.
I have read and u tand t afore n ed inf ation.
Signature Date � � � �
AgenUOwner
Address 2277 LAIRVILLE ROAD OSHKOSH WI 54904 - 0000 Telephone Number 920-232-7620
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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� Cit?of Osl�osh �'Q�x i 130
J Oshkosh,WI 54903-1 f30
� Phone:(920}236.3050
Fax:(924)236-5084
Buiiding Permit Application �����6kosb.�.Us
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Address -'�1�1� � �..��? ^�t�+� ��f ����a, '``. �°'`�.�{,.�,��'�,�,j�
APP�«nt t�wner �Contractor�> Tenant (7ther(describe)
Owner/ Name ��J�,�..
Teoant °'''-�' P n Phone
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Address /�.j C.� ,�� �+.,1PS 7�` �;��.:� i� �
Email
Contraetor Company Name G'�� ��<�✓- � /j/��� „ ,. -,
�c.,�G�,-t' I'nc Phone��..��r�_ ,��'.��..�
Contact 6��,,J'� Email
Address <`�'r'� f//°•�1 ,r', eG ,��,. i�p�r it`/ ,( ..t» f j +
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State Credentiat#'s �-� �f''�j ��j `;:; �!' R;��
Dwell�ng Contractor Qualifier tt � Dwelling Contractor# � Buildmg Contractor Registration#
Achitect/ Company Name
Designer Phone
Contact
Email
Address
Permet Type Residential Single Farn�ly Residentiai Duptex Commercial Multifamily Industriai
Catagory New Additipn Iteration
Project .�,`�'�'�' It'��.�c ri. �
Description `'"
Mechanical Separate permits wi11 be obtained for the following:
Permits �1���1 b ��� +
y—��� Plumbing by �.�. �.S`.�°��.rs��-,,, H�ting by :
Value of Job $ f� ��.�
- (Value for materiais dt Iabor is rcq.to ensure c.�,ciste��y in accessing permit fces for all applicants,)
Payment by: Check # Cash Permit Fee Account
!cerr�rhe above informotion is complete axd arcurote, �f�ry deviationr
to be obtained /ackrrowledge and agree to these terms. hO1!the°b°ve,s�bmined injormation may require addirional permits
Name:
�� (Pieau print3 Dste:
Signature.