Oshkosh Permit PACUR, Inc. - Ron Johnson (2012)

CITY OF OSHKOSH No 149732 OSHKOSH ON THE WATER BUILDING PERMIT - APPLICATION AND RECORD Job Address 3555 MOSER ST Owner RONALD H/JANE K JOHNSON LLC Create Date 03/30/2012 Designer Contractor GANTHER CONSTRUCTION Inspector John Zarate Category 211 - Alteration Industrial Plan W1-3537-0312 Type Building Sign Canopy Fence Raze Zoning Class of Const: Size Unfinished/Basement Sq. Ft. Rooms Height Ft. Projection Finished/Living Sq. Ft. Bedrooms Stories Canopies Garage Sq. Ft. Baths Signs Foundation Poured Concrete Floating Slab Pier Other Concrete Block Post Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature of Work Industrial/ Interior alterations* Include Remodeling the existing employee entrance, breakroom, locker room and seperating entrance and exit. **check #61128 HVAC Contractor ANDERSON HVAC LLC Plumbing Contractor Electric Contractor EXCELLENCE ELECTRIC Fees: Valuation $155,000.00 Plan Approval $0.00 Permit Fee Paid $553.00 Park Dedication $0.00 Issued By: [illegible] Date 04/03/2012 Final/O.P. 00/00/0000 Permit Voided Parcel Id # 1519606400 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 above mentioned information. Signature [illegible] Date 4-3-12 Agent/Owner Address 4825 COUNTY ROAD A OSHKOSH WI 54901 - 9618 Telephone Number 426-4774 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.

City of Oshkosh P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 www.ci.oshkosh.wi.us Building Permit Application | | | | :--- | :--- | | **Project Address** | 3555 MOSER STREET | | **Applicant** | Owner Contractor Tenant Other (describe) | | **Owner / Tenant** | Name PACUR, INC. ATTN: SUNEER PATEL Phone [illegible] <br> Address 3555 MOSER STREET Email [email protected] | | **Contractor** | Company Name GANTHER CONSTRUCTION \| ARCHITECTURE, INC. Phone [illegible] <br> Contact ANDY WILKE Email [email protected] <br> Address 4825 COUNTY ROAD A OSHKOSH, WI 54901 <br> State Credential #'s [illegible], [illegible], 2091 (EXPIRES 03-30-13) <br> Dwelling Contractor Qualifier # Dwelling Contractor # Building Contractor Registration # | | **Achitect / Designer** | Company Name GANTHER CONSTRUCTION \| ARCHITECTURE, Inc. Phone [illegible] <br> Contact JASON HALE Email [email protected] <br> Address [illegible] | | **Permit Type** | Residential Single Family Residential Duplex Commercial Multifamily Industrial | | **Catagory** | New Addition Alteration | | **Project Description** | ALTERATION AND REMODELING TO EXISTING EMPLOYEE ENTRANCE AND BREAK SPACE TO INCREASE EMPLOYEE <br> LOCKER ROOM AND BREAKROOM SPACE AND SEPERATE THE BUILDING ENTRANCE AND EXIT FOR OCCUPANT FLOW. | | **Mechanical Permits** | Separate permits will be obtained for the following: <br> Electrical by EXCELLENCE ELECT Plumbing by NONE Heating by ANDERSON HVAC | | **Value of Job** | $ 155,000 (Value for materials & labor is req. to ensure consistency in accessing permit fees for all applicants.) <br> Payment by: Check # Cash Permit Fee Account | | | I 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. <br> Name: ANDY WILKE (Please print) Date: 03-30-12 <br> Signature: [illegible] |