HomeMy WebLinkAbout2013-Building � CITY OF OSHKOSH No 158941
�
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1280 S KOELLER ST Create Date 10/21/2013
Project Remodel of Interior Sales Floor Project Number 20130651
Owner 1200 SOUTH KOELLER STREET II LLC Plan BB3-3904-1013
Contractor I 3
Inspector John Zarate
Designer
Category 232-Alteration Stores&Customer Service Type of Plan Alt. Level 1
Zoning G2PD Square FooWge
Major Occ Mercantile Const Class Type IIB
Fire Protection � Spnnkled � Unsprinkled � Sprinkler Design None
Occupancy Permit Required Fiood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
❑ Projection ' Canopies _ Signs
Use/Nature
of Work
COMM/US Cellular*Remodel of sales floor to include new fixtures and finishes of ceilings and walls. �
i
I
L
---- — ----
---
HVAC Contractor UNKNOWN??? Plumbing Contractor
Electric Contractor UNKNOWN????
Fees: Valuation $60,000.00 Plan Approval $0.00 Permit Fee Paid $380.70 Park Dedication $0.00
Issued By:�� Date 12/02/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1308480402
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary�approvals before starting such activity.
I have read and un tand the � � ed inform '
Signature Date f� ��7^l�
AgenUOwner
Address 1150 GATEWAY DR W SHAKOPEE MN 55379 - 3819 Telephone Number (302)985-7992
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
� P O Box 1130
Cit,of Oshkosh Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ����.oshkosh.W;.us
Project
Address 1�-�a SG�T�1' KGEL�2 �j112.E�j
Applicant Owner Contractor Tenant t er scribe) ,�.GC-r�T a i= ow n►�2
Owner/ Name td,5 G�Lc.0�h� �13R I� �u►2i'1.G
Tenant - Y Phone `77 3 - '3$S-�3`'r��f :
Address �6N1� g2yN /�1/�t„�1Z. ,qv�=�Ll-M�A'Go �LL 6oL31 Email 13RIM•+.cu�tkc_Y�uSCEt,c��yt,ca,y
Contractor CompanyName T � Phone 3aa-q�5�-�9�a
C-rr�u) � ,
Contact �z`������C� Email V��•� l� ` �l,t�, �, �,L�
Address .A��W� �� VC.-� q � ,Il��l�f s ^ �
_ -T
State Credential#'s
, ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name RZC.b4 pl's$!G N W o PL�p w�h�� Phone S 13 -3��- -3 3! 1
Designer
Contact lNlu-1i4�'► l�►=�tMvN Email Wl-I�a'FH�I-NNE� �RC.N ,coM
Address 3l� �1..t1 STREET � SuaT►_ lo�c> > UNCtr�Nkft � G� �($1�Z
Permit Type Residential Single Family Residential Duplex Commercial � Multifamily Industrial
Catagory New Addition AltPrat;on �
Project �20�Gv�- �5 �4 TL.�-.-+/r�rr REM�n�L t a+ A� ExtSi7 ti+G 5 H-��. Ncw w ctz1L
Description
LNU.unrs l.iH�T�+o C�w�s'l�ri-k�.'�,�r.� eF iN'T�rtto� wku-S � 5�3 �--u�aZ
F�xTUa.ES M�o F�uiS�t�:S A�r�o c���ti� �n �t,�c�m N� �JuSt�c�T3 . �EP
SCoP� ls I-�� T►-�tta.taE✓J AT -1�hS 77H�. �7fi�E LS Na wOKI� 'Ta r3� Ca/`tA:�l�
ll� 'M"� (3IK-� aF' �Itr,cS�. REST2oa�+-S �,a pt.uM,f3�t�NG ������—
El�l 5�As 6 'JZ� �(2 EH/1'l N.
Mechanical Separate permits will be obtained for the following: CT730�
Permits DEPARTniE1'I OF
Electrical by Plumbing by H�Q�111�J:�i'Y DEVELOP9IE'.YT
Value of Job $ 66�VUU (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name: i,u t�t,lAM I�r-hkN N (Ptease print) Date: I V�/s�/3
Signature:�j--