HomeMy WebLinkAbout0157195-Building � CITY OF OSHKOSH No 157195
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3500 N MAIN ST Create Date 08/12/2013
Project Clean Room Addition Project Number 20130491
Owner PERFECSEAL INC Plan AA7-3849-0813
Contractor MIRON CONSTRUCTION CO INC
inspector John Zarate
Designer Raasch
Category 210-Addition Industrial Type of Plan Alt.Level 2
Zoning M-3 Square Footage
Major Occ Factory Const Class
Fire Protection � Sprinkled � Unsprinkled
� Sprinkler Design NFPA-13
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
❑ Projection i Canopies Signs
Use/Nature
of Work
ICOMM!PERFECSEAU Construction of a new 4,950 sqft clean room. The north and west walls are existing.
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HVAC Contractor BASSETT MECHANICAL Plumbing Contractor BASSETT MECHANICAL
Electric Contractor NORTHERN ELECTRIC INC
Fees: Valuation $130,0 0 Plan Approval $0.00 Permit Fee Paid $891.00 Park Dedication $0.00
Issued By: Date 08/13/2013 Finai/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1519603301
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 nd un taa the ore ' ned information.
Signature � \-� � :
Date
AgenUOwner
Address PO BOX 509 NEENAH WI 54957 - 0509 Telephone Number 920-969-7000
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 pertormed within two business days from the time the project is ready.
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� /�'/' P O Box 1130
City of�.s/"�/G�.SI� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ����.oshkosh.w;.�s
Project �� � � ,
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Applicant Owner ontrac Tenant. Other(describe)
Owner/ Name '
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Contractor CompanyName ���Crh �rc,t,�,�Y� Phone
Contact � r Email
Address � '
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State Credential#'s , �������� �
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contract r Registration#
Achitect/ Company Name �q5chti Phone �`�J • �3�1• `���'�
Designer
• Contact \1 ��.���'�i�1� � Email 'M� �' (�,t,� :
Address ��� ��►�j �(L�
Permit Type Residential Single Family Residentia(Duplex Commercial Multifamily
Catagory New Addition A 'on
Project
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by �C� c�r Plumbing by�.�-� Heating by'�a�,'�
Value Of Job $ �'�r� �c�-.� a���e for materials&labor is re to ensure consisten
� N q. cy in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
/cerlify the ab iQtfon is comple and accurate. Any deviations from�he above submit�ed information may require additiona!permits
ob[aine lackn i� r [ these terms.
Name: prn lease print) Date: � � ��
Signature: