HomeMy WebLinkAbout0157976-Building (partial roof & partial siding) � CITY OF OSHKOSH No 157976
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1325 GEORGIA ST Create Date 09/27/2013
Project reroofing and siding _ Project Number 0
Owner PLYMOUTH CONG CHURCH Plan
Contr.actor D&J QUALITY CONSTRUCTION
Inspector Nicole Krahn
Designer
Category 208-Alteration Churches&other Religious Type of Plan
Zoning R-1 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 � Canopies Signs
Use/Nature
of Work
COMM/reroofing front porch and residing upper portion of church
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,750.00 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
Issued By: �� Date 09/27/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1306980200
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 a�d_under nd the afor e � ned information. q
Signature � Date / � � � :
�
AgenUOwner
Address 2415 HICKORY LN OSHKOSH WI 54901 - 2521 Telephone Number 232-0538
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 Boz I I 30
� �"'� City of Oshkosh �s���s�,. W► 5�90�_, ,30
� Ph�ne: (9?0)�36-SOSO
Fax: (9?0)236-5084
Building Permit Application '""".�`.°sh�°5".""`.us
Project
Address
' � � 5 ��o!'�;� S�'fce�-
� Applicant Owner Contractor Tenant Other(describe)
O�vner/ Name �L.� f'l')b t�-�� C�u gt'e�--�ion�� C�Y�f'llone
Ten�nt
Address � 3 �5 �����►� ����'� Email
Contractor Company Name ���� �,a.ji fj� �p2c.S-�'(�-G��G�(Phone /��— ��l"`����
Contact cL�Q,••` �C55��e�_ _ Email----- ---------
Address _ _
State Credential #'s (�� � �� � (p �O� 7��
D����Iling Cunu�tictur(lualifier# D���elling Contr�ictor tt f3uil�ling Cuntrtictor Regi,tration ri
Achitect/ Company Name Phone
Designer - __ ---- - --_ _ _
� Contact Emai I
Address �
Permit Type Residential Single Fai��ily Residential Duple� Commercial Multifamily Industrial
Catagory New Addition Alteration
Pro'ect °� �p
Description �i�'1DV�-.e �-G' yerSz �C,�fO-. �'' �-.�'�� $; �v�� C51ti- U���
PO�' �' i C'�v�, � T �j�.w�G�,
� - {'cx?-Sr--I��--b be,r ---_['o a�-_ c�s�e r-- 2 r-�t'-� �.,y _a n _-�'1�,
IVoC' �}'� S ;� b.� �"l.� G�,w�'G1•. --
Mechanical Separate pennits will be obtained for the tollo��ing: ��
Permits Electrical by __ Piumbing by Heating by �_
Value of Job
$ ��� ���,�� (Value fi�r materials& labur is req.to ens�n�e consistency in acce�sing pertnit lecs t'ur ull applicants.)
Payment by: Check # ���� Cash Permit Fee Accoimt
l cer(i/1'the ubure inlhrmalion i.s�romplele u»��ucc't�rul��. .I�n��l�°ri�Niun.��li�nn�lh��r�hur��.��tihmill��tl iniornnNinn n��n'reynii��-udcl�(iu��ul����rmil.e
lo be ob � c d. l uckno�rlc�dgr un�l ugr�r to Ihe.re Icv�ui.ti�.
Name: CJ�. v.. C�� �"��� _ l�'�c�uc print) Date: / 2 7�� _ �
Signature: