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Home My WebLink About0158174-Building � CITY OF OSHKOSH No 158174 � OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD . ON THE WATER Job Address 1130 N WESTFIELD ST Create Date 10/03/2013 Project Remodel Manor View 21 bed CBRF Project Number 20130633 Owner EVERGREEN RETIREMENT COMM INC Plan BB4-3889-1013 Contractor MIRON CONSTRUCTION CO INC Inspector Nicole Krahn Designer Category 219-Addition Hospitals&Institutions _ Type of Plan Alt. Level 3 Zoning R-1 Square Footage Major Occ I-2 Const Class Fire Protection � Sprinkled 0 Unsprinkled ( Sprinkier Design NFPA 13 Fully Sprinklered Occupancy Permit Not Required Flood Plain No Height Permit Not Required Park Dedication Not Required #Dwelling Units 1 #Structures 1 � Projection ' Canopies _ _ Signs Use/Nature of Work COMM\PHASE II MANOR VIEW 21 BED CBRF/Interior rennovation to enlarge rooms. Rennovation will also include updates to the finishes I14hroughout the second floor and the replacement of windows in a portion of the building. ii � --- — -- -- — -- HVAC Contractor HURCKMAN MECHANICAL IND., INC. Plumbing Contractor HURCKMAN MECHANICAL INDUSTRIE; Electric Contractor VOS ELECTRIC INC Fees: Valuation $1,007,4 5.00 Plan Approval __ $0.00 Permit Fee Paid $1,533.24 Park Dedication $0.00 Issued By: Date 10/09/2013 Final/O.P. 00/00/0000 ❑ Permit Volded�I Parcel Id# 1615311000 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 activiry. : I have read and understand the afore mentioned 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 performed within two business days from the time the project is ready. `°t t t � P O Box 1130 City of Oshkosh Oshkosh,WI 54903-1 1 30 � Phone: (920)236-5050 : Fax:(920)236-5084 Building Permit Application ��l.oshkosh.�.us Project Address 1130 N. Westfield Street, Oshkosh, WI 54902 Applicant Owner Contractor Tenant Other(describe) �`�'1er� lvame Evergreen Retirement Community Phone 920.233.2340 Tenant Address 1130 N. Westfield Street, Oshkosh, WI 54902 Email Contractor Company Name Miron Construction Co, (t1C. Phone 920.969.7086 Contact Jen Mason Emai1 Jen.mason@miron-construction Address 1471 M�Mahon Drive, PO Box 509, Neenah, WI 54957 State Credential#'s , , Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name ag ArChiteCture Phone 414.431.3131 Designer contact Steve Ketterhagen Email spkett@agarch.com Address 1414 Underwood Ave, Suite 301, Wauwatosa, WI 53213-2653 Permit Type Residential Single Family Residential Duplex ommercia Multifamily Industrial Catagory New Addition teration project Phase II - Manor llescription n enor renovation to en arge rooms, improve sys ems, an up a e e ec rica an plumbing systems. Renovation will also include updates to finishes throu hout and : replacement of windows in a portion of the building. OCT 0 4 2013 DEPART�IE\T OF C0�1�iUVITY De�'ELOP\fEVT iNSPECTION SERVICES Di�'1SIOV Mechanical Separate pennits will be obtained for the following: Permits Electrical by Vos Electric P�umb;n�by Hurckman Mech. Heating by Hurckman Mech Value of Job 1 415 340 $ � � (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 aboi�e irrJor�nntion is complete and accurate. Anr dei�irr�ior7s%r�om the above submitted ir�jormntiori ma}•require additiona!permits � to be obtainecl. /acknnirlec/ge and agree to these terms. tvame: Jen Mason, Miron Construetion ,��ea,e,�r;nc� Date: 10/2/2013 Signature: