HomeMy WebLinkAbout0158065-Building � CITY OF OSHKOSH No 158065
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 567 E SNELL RD Create Date 09/30/2013
Project Alteration to create new o�ce Project Number 20130627
Owner WINNEBAGO CTY EMP CREDIT UNION Plan BB2-3886-0913
Contractor JJ GEFFERS INC
inspector John Zarate
Designer
Category 223-Alteration Offices, Banks, Professional Type of Plan
Zoning M-3 _ Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection I Canopies Signs
Use/Nature
of Work
OMM/Create new office*with in existing space in the lower level/basement. Seperate permits required for HVAC,and Electrical work. "debit acct
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $50.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: �s� 1 f���/` --- Date 10/02/2013 FinallO.P. 00/00/0000
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� Permit Voided I Parcel Id# 1519606801
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an ease ent,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approv s before starting such activity.
I have read and n erstand the afo e 'oned information.
Signature Date �'f- � �/3
AgenbOwner
Address 3965 WESTERN OSHKOSH WI 54901 - 9707 Telephone Number 231-2637
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not perFormed within two business days from the time the project is ready.
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P 0 Box 1130
CZt-y �f OS���S� Oshkosh,WI 54903-1130
Phone: (920)236-5050
' ' Fax: (920)2�6-5084
Building Permit Application WwW.".°Shk°Sh.W'.us
Project �� � pt ���t� � )
Address �•�- C1
Applicant � Owner �1 Contractor ❑ Tenant ❑ Othei(describe)
Owner/ Name �tnrLe_�aQC� C�,�-1..� 1���.C��-�- U�l(p��. Phone C�P?c�) �.3�-�09C.G s.
Tenant °
Address ���7 C �✓t Q� � �G • Email
Contractor Company Name JJ C�2 ��f(S CQ�,,�{Y'UL.�1��., Phone_�9�b� 3�g-?�J��
Contact �Q.Sp� (j2��i-e�5 Email aSo,1 � �-�f�e��c�r jC,�F� ��'N >
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Address �o?7� /�,�� ' � � 1� ��-r5e/t �,c�l �`�' g � 7 t
State Credential#'s �5�$� 0��09 ��
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Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name �. Phone
� Designer
Contact Email
Address
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Permit Type ❑ Residential Single Family ❑ Residential Duplex ' Commercial ❑ Multifamily ❑ Industrial
Catagory ❑ New ❑ Addition �Alteration Z ` 3�-b9 g
Project
Description
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Mechanical Separate permits will be obtained for the following:
Permits [�Electrical b S�Q- EIQc��cn
y � ❑ Plumbing by ❑ Heating by
Value of Job $ �
���, (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: ❑ Check # ❑ Cash � ❑ Permit Fee Account
I certify the above information is complete and acca�rate. Any deviations from the above submitted information mcry reqz�ire ndditional permits
to be�btained. I acknowledge and aQree to these terms. /�
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Name: J0.St'��1 �e ��QY S (Pleaseprint) Date: �
S ignature:
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