HomeMy WebLinkAbout0158682-Building � CITY OF OSHKOSH No 158682
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2831 HARRISON ST Create Date 10/21/2013
Project Alterations Project Number 20130649
Owner LUTHERAN SOCIAL SERVICES OF WI&MICH Plan
Contractor OWNER
Inspector Nicole Krahn
Designer Nordin Design Group
Category 132-Multi-Family Alterations _ Type of Plan Alt. Level 2
Zoning R-4 Square Footage
Major Occ Residential _ Const Class Type VB
Fire Protection � Sprinkled � Unsprinkled ( Sprinkler Design Not Noted on Plan
Occupancy Permit Not Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 1
� Projection , Canopies Signs
Use/Nature
of Work
COMM/CBRF/Removing a portion of a wall in the kitchen to provide a pass through opening to the common area(a new header will be installed).
I�Removing one of the stairways to the 2nd floor and installing a new floor system to provide a storage area for the 2nd floor. This permit also includes �
he addiiton of doors per the plans submitted and the installation of a fence per the site plan submitted.
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HVAC Contractor Plumbing Contractor UNKNOWN
Electric Contractor UNKNOWN????
Fees: Valuation $40,000.00 Plan Approvai $50.00 Permit Fee Paid $260.00 Park Dedication $0.00
issued By: � �,.��—' Date 11/08/2013 Final/O.P. 00/00/0000
y ❑ Permit Voided� Parcel Id# 1520970000
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 the afore mentioned information.
Signature Date
AgenUOwner
Address _ _ Oshkosh WI 54901 - 0000 Telephone Number
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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� City of OsFtFosF� os�,kos�,,w�� ���o;_����, :
� Phone: (920)236-�0�0
Fax:(920)236-�084
Building Permit Application �'H'�'•ci.oshkosh.wi.us
Project ? l
Address p��`-' / �G�,��/.�UYl �5�. Q�h ,� rLi
Applicant O�vner Contractor Tenant ther escribe) " �
Owner/ Name , U �1�'�G�, j Phone 7�.��S�-o�/l� ---
Tenant / , / L
Address (�y (.�• �/� ^ T�r� CclJ�� �i/ Email�f G�O(' S G✓��S • �r�-
1'ontractor Company Name Phone ___
� Contact Email __
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; S[ate Credential #'s ---
Dwelling Contractur(lualiticr# D���ellin�Contractor# Buildin��(�ontracto�R�gist��i'u�n� � �
Achitect/ Company Name Gr�n �e.�i�h /�DU/�� �h l' Phune 7�SJ So2� "`��� 7 __
Designer `/
Contact����(.f� _ Email �TT��U����'av.0< <<"'''`�
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�I'ermit Type Residential Single Family Residential Duplex Commercial Multifamilv lndustrial ,__� �
Catagory New Addition Alteration !
Project ��` -G G-L i°�'n z°it� �` _ - �
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Description �� j �
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�� Mechanical Separate permits will be obtained for th�following: l �
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( ermits Electrical by Plunibing by Heating by !
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� ValUe Of.JOb $ ��(�(�� �Value ior materiah�� I�bor is req.to cnsurc cunsistenc��in accessing permit fee; ii�r<�II a�.piic:i;±�.) � �
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Payment by: Check # Cash Permit Fee Accoi�nt �__ ,_�
� l cerli�'d�e uhore in/i>rntulion is contple[e cutd acct�nite .�lni'dericiliuns fi�onl the c�6ore ctthn�itlecf iilja•rnution mcn�reyriire udclNium�l��c rn;:is �
lo be ohtni��ed. l ucknotrle fg��nnd ree to lhc�se!c-rnts. �
Name: �.� 2 �G�C/l�� _ � - � a -- �
(P�casc nnnt) Date: Q �� �
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Signature: 07� �/ G�•-��� I