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� CITY OF OSHKOSH No �5s5ss
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER t
Job Address 1500 PLANEVIEW DR Create Date 10/28/2013
Project New Subway Restaurant build-out _ Project Number 20130658
Owner DGB INVESTMENTS LLC Plan BB3-3902-1013
Contractor HOMESTEAD BUILDERS LLC i
Inspector Nicole Krahn
Designer
Category 205-Alteration Amusement,Social, Recreation Type of Plan Alt. Level 2
Zoning M-1 PD Square Footage
Major Occ A2;Assembly Const Class Type VB
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection '�, Canopies Signs
Use/Nature
of Work
COMM/Subway store to be constructed within the existing store. ,
**ck#1629**
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HVAC Contractor Plumbing Contractor L.C. PLUMBING INC.
Electric Contractor ALL BRIGHT ELECTRICAL SERVICES INC
Fees: Valuation $60,000.00 Plan Approvai $0.00 Permit Fee Paid $75.60 Park Dedication $0.00
Issued By: �� Date 10/31/2013 Final/O.P. 00/00/0000
� Permit Voided!i Parcel Id# 1369500000
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 and understand fore mentioned i ion.
Signature � � Date �����'��
AgenUOwner
Address 5669 ANGLE RD OSHKOSH WI 54904 - 6855 Telephone Number 920-410-5117 .
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 Box 1130 ;
� �l�y �f OS!��OS G Oshkosh,WI 54903-1130 '
� ��' Phone:(920)236-5050
F�: (920)236-5084
Building Permit Application wWW���.oshkosh.W�.�s .
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Project i /�(�
Address l.�"" �(�-e�t� �v'_
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Appticant Owner -- ontractor Tenant Other(describe)
Owner/ Name Phone
Tenant
Address Email
Contractor Company Name �Ct'�257`�c ��(�piV'� �-�� Phone `f�U—`7 ��
Contact ��vL �t,w�;c� Email
Address ��g� �✓� �l ��w�5 /�.
State Credential#'s� 7 �'d�� , � � ��Y�7� ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ J
Designer Company Name ,��I-'r":�,>c+v� 3 �s�(f Phone
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project l y'�Y�i ��cs�,,r- S �.'��L ?--0
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by /i-i l'�N:,, jeC�,�umbing by L� Heating by
Value of Job r�1 �^t
$ �(�,��/ (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 injormation is complete and accw�ate. Any deviations from the above subnaitted information may requi�•e additional permits
to be obtained. I ac�nowledge and agree to these terms.
NBIYIe: '���— (Please print) Date: ����V'—� �f
Signature: Zc