HomeMy WebLinkAbout0142159-Building (water damage) (?D CITY OF OSHKOSH No 142159
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1045 FREEDOM AVE Owner TLK INVESTMENTS LLC Create Date 07/21/2010
Designer Contractor PACKER VALLEY BUILDERS, INC
Category * 140 - Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 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 0 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/ Water Damage/ Replacing the water damaged drywall and insulation, painting, new carpet, repair the wind damaged roof and
of Work replacing the patio door and window sash.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00
Issued By:
Date 07/21/2010 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id # 1250174300
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 • secure any necessary approvals before starting such activity.
have rea •dr 1 . nd afore ed i 'on.
Signature WV ' �/ /O
Agent/Owner ,
Address 2277 CLAIRVILLE ROAD OSHKOSH WI 54904 - 0000 Telephone Number 920 - 232 -7620
* 140 - Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
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
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 _ _
Fax: (920) 236- 5084C� � �—�('�(� f
Building Permit Application ON �Nf WATFRR
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 11
JOB ADDRESS JOYS Aeede9 .
OWNER / f !�
CONTRACTOR Paz 4 �?s- i4 //€ y �u,'l�� ^.s �� c .
I am the: ❑ Owner OR p$ Contractor
USE CATEGORY
i.1Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
Work being done:
1 Addition Deck/Porch/Patio ❑ Driveway/Parking
1 External Remodeling 1 Fence/Hedge/Kennel 1 Garage/Utility Structure
1 Handicap Ramp E Hot Tub /Spa Internal Remodeling
Sign/Canopy /Awning 1, Stair/Handrail 7 Stove/Fireplace
1 Swimming Pool 1 Wrecking Permit
Other Repaile4
For External Remodeling, Wrecking Permit, and Internal Remodeling please see Chapter NR 447 of the Wisconsin Administrative Code and
Notification Form 4500 -113 on the DNR Asbestos Program website; http: / /dnr.wi.00v /air /compenf /asbestos /.
For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at
http:// dnr. wi. qov/ orq/ aw /wm /publications/anewoub/WA651. odf.
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: (fee 4 ce, c✓u.'A e ego
t'etl /ac ,90.4; 0 doer- ..
Any work not included in this application is not permitted.
exl
Value of the job $- 3fS (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
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:
(Please .
Signatuu
Date: o2/ /G7
3/02