HomeMy WebLinkAbout2010-Building CITY OF OSHKOSH No 143269
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 432 WYLDEWOOD DR Owner STEVEN L/JERRALYN R KLAPA Create Date 09/22/2010
Designer Contractor OWNER
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 Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature J DUPLEX/ Basement Remodel *Remodeling the the basement to create a bedroom and bathroom. A minimum of T ceiling height will be
of Work provided. The bedroom will have a minimum of 8% light, 3.5% ventilation and minimum egress requirements. The foundation walls will
not be drywalled. Licensed plumbing and electrical contractors will pull permits for the mechanical work. An exhaust fan will be installed
for the bathroom and smoke detectors for the bedroom to meet min. code requirements.
HVAC Contractor Plumbing Contractor UNKNOWN
Electric Contractor UNKNOWN ? ? ??
Fees: Valuation $1,250.00 Plan Approval $50.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By:
Date 09/22/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1632005900
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
Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
* 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
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OfHKOf H
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 11
JOB ADDRESS "i3 Z W r iie wa ck, vc RECEIVED
OWNER �� x/fte SEP 2 0 2010
CONTRACTOR t IF D E Af ":TM L N 7 Or
COMMUNITY DEVELOPMENT
I am the: ,g Owner OR ❑ Contractor INSPECTION SERVICES DIVISION
USE CATEGORY
El Single Family ■ uplex ❑Multi - Family ❑Rental,1ommercial ❑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
Other 49-A- e-rrt eNT 1L /e9 0/
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: 4iass, e& 1 f c./ a n'l -r 2/914•20a r- 1
e Or 2 of r /I 9
Anv work not included in this application is not permitted.
Value of the job $ /00/ / SO 0 (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 acknowled e and agree o thes • terms.
--�' - Name: e
ci 6 t
(Please 7nt)
Signature: a /
( 1 1 Q - . - : 1 1 W (� a@4) Date:
TLJ- ? 3/02
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