HomeMy WebLinkAbout0157889-Building (adding support beam) � CITY OF OSHKOSH No 157889
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 132 HIGH AVE Create Date 09/23/2013
Project SUPPORT BEAM Project Number 0
Owner MAG ENTERPRIZE LLC Plan
Contractor BONGERT CONSTRUCTION
Inspector John Zarate
Designer
Category 140-Interior Remodeling Type of Plan
Zoning C-3D0 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Fiood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
� Projection � Canopies Signs
Use/Nature
of Work
MULTI-FAMILY/adding support beam per submitted plan
,•cash"
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By:�y/�Y " Date 09/23/2013 Final/O.P. 00/00/0000
❑ Permit Voided'I Parcel Id#0101010000
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 an necessary approvals before starting such activity.
I have read and unde afore mentioned information.
Signature Date — �.��
AgenUOwner
Address 927 W 8TH AVE OSHKOSH WI 54902 - 5862 Telephone Number 920-203-7944
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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.
P O Box 1130
� l..11,y �f OS!l.��SlL Oshkosh,WI54903-1130
� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application WWW��;.oshkosh.w;.us
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Address � �S�
Applicant Owner ontracto Tenant Other(describe)
Owner/ Name /��'� �w'�p�t S�S Phone '
Tenant
Address Email
Contractor Company Name ��S -e.t T C d"`s�v��c��u� �,�C- Phone S z� �-�'� 7 F�y �
Contact ��h�J �-v� e,� Email
Address 9 z 7 L.� ��� �
State Credential#'s , , .
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name �� ���^V���S Phone �Z(7 �� y7d
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial 'family Industrial
Catagory New Addition Iteration
Project ,
Description �� �` S �'�� S� � �` 4
'�� �i 7 4 5 5-�� �l e.r-
Mechanical Separate permits will be obtained for the following:
Permits Electrical by �(//t- _ Plumbing by �� Heating by/V�'
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 accurate. Any deviations fran the above submitted information may requii•e additional permits
to be obtained. 1 acknowledge and agree t these terms.
Name: < <'�Q�--J _ �-ti (Please print) Date: / ✓����
Signature: