HomeMy WebLinkAbout0141020-Building (bathroom) CITY OF OSHKOSH No 141020
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1675 DEERFIELD DR Owner JASON E/CARIE L LINDEMANN Create Date 05/17/2010
Designer Contractor HOMESTEAD BUILDERS LLC
Category 140 - Interior Remodeling Plan
Type • Building Q Sign 0 Canopy Q Fence 0 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 0 Floating Slab Q Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Opening the wall by the shower for the existing 2nd floor bathroom. Tiling the bathroom and installing new cabinets.
of Work
HVAC Contractor Plumbing Contractor L.C. PLUMBING INC.
Electric Contractor
Fees: Valuation $6,800.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: Date 05/17/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1319980000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 Dates '-( 7- / 0
N ap
Agent/Owner
Address 56c9 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.
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City of Oshkosh
Inspection Services Division MAY 11 2010
( .‘14-1- Irellia
P O Box 1130
Oshkosh, WI 54903 -1130
DEN?;-
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Phone: (920) 236 -5050 COMMUNITY REVEL ili ENT
INSPECTION SE
Fax: (920) 236 -5084 i2VICE` C' I SION OfHKOJH
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account fl
JOB ADDRESS 167 0-32 . O
OWNER S t-50-4& I---k ✓tom vt ik
CONTRACTOR tier' r t; lder5 L, L. C
I am the: ❑ Owner OR El Contractor
USE CATEGORY
E'1Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
Q
Other d A.e.. rify-4 /(lP�+.. fi4e F, x-trw es
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
• Full description of work being done: / 4 4 ✓ 1 - 7 -1 ' T ; xtvt 4A + < (le ivt-stA(
jI Y , , V g .
Any � work not included in this application is not permitted.
1 Value of the job $ (Value for materials aid labor is required to ensure consistency in accessing permit fees for all
applicants.) 1 .P ) aDIO fw►,Ltff ---S
PLEASE READ, SIGN, & DATE:
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.
Name: /7L 5 1 e k_
(Please print)
L 4 Signature: -----
Date: r - /X l[/
3/02