HomeMy WebLinkAbout0156879-Building (sign) � CITY OF OSHKOSH No 156879
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1736 W 9TH AVE Owner NC CONSTRUCTION Create Date 04/26/2013
Designer Contractor LEMBERG ELECTRIC COMPANY INC-SIGN
Inspector Nicole Krahn
Category 254-Signs Plan
Type � Building � Sign � Canopy � Fence 0 Raze _J .
Zoning 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 Not Required Occupancy Fee $0.00 Fiood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature Commercial--install 1 d/f internally illuminated pylon sign;3 ground signs and 9 wall signs on various elevations per submitted applicationl�
of Work I�'for"CVS Pharmacy"{UL#s HM165516 thru HM165623&HH595544} "*check#64582 i
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $160,000.00 Plan Approval $0.00 Permit Fee Paid $675.00 Park Dedication $0.00
Issued By: S�1�...J Date 07/25/2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcei Id#0613170000
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 4085 N 128TH ST BROOKFIELD WI 53005 - 1812 Telephone Number (262)781-1500
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 Box 1130
� l...L-I-y �f OSI L��SI L Oshkosh,WI 54903-1130
� �' Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �Wci.oshkosh.wi.us
Project
Address NEC of 9th & Koeller Street
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name CVS Pharmacy Phone 401-765-1501
Tenant
Address 1 CVS Drive Woonsocket RI. 02895 Email
Contractor Company Name Lemberg Electric Company, InC. Phone 262-781-1500 x 130
contact Tim McGrath Emailtmcgrath@lembergelectric.com
Address 4085 N. 128th Street Suite 100 Brookfield, WI 53005
State Credential#'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 Alteration
Project
Description
Install new exterior signage as per prints submitted to The City of Oshkosh
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ 160,000.00 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account $675.00
I cert�the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: Tim Mc rath (Please print) Date: 07-17-13
S ignature: