HomeMy WebLinkAbout0157137-Building (sign) � CITY OF OSHKOSH No 157137
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 215 CHURCH AVE Owner CITY OF OSHKOSH Create Date 08/09/2013
Designer Nicolle Hackl Contractor APPLETON SIGN COMPANY INC
Inspector
Category 254-Signs Plan
Type � Building � Sign � Canopy 0 Fence � Raze �
Zoning C-3 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection ! ,
Finished/Living _ Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood - _
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature COMM\Install s/f non-illuminated ground sign for"Oshkosh City Hall" `
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,541.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: 1,���— Date 08/09/2013 Final/O.P. 00/00/0000
❑ Permit Voided'I Parcel Id#0701410000
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 2400 HOLLY RD NEENAH WI 54956 - 1012 Telephone Number (920)734-1601
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.
� Cit,of Osl�osh P O Box 1 130
Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application WWw���.oshkosh.W;.us :
Project ) " , -
Address «� � ��1..�-�C.X� �U�Nl��k
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name � � S �, Phone
Tenant
Address � � `,,.�,1JLVLY'1 �.Q�V�� Email
Contractor Company Name prY� C�.VL Phone�a(�'`��'��.5��Sao�
Contact ��('_(�`� ��.� Email 1 y� ;.
Address � �CY �� (�.
State Credential#'s , , � ' 1 ����
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 Alteration
Project _�Y15'�`-` �l � 1'l ['�� ��'le �� ) 1(Yb r�t�yY,�f'��
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ N���(� ( O�J (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
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Payment by: Check # Cash Permit Fee Account
1 certify the above informatia:is complete and accurate. Anv devintions from t{�e above submitted information may require additior�a!permits
[o he obtair�ed. /acknow/edge a�td ngree to tlaese terms.
Name: GtiC�.� f �� 1��� (Please print) Date: � • (,p • ��
Signature: -7 �
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