HomeMy WebLinkAbout0144114-Building eDi CITY OF OSHKOSH No 144114
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3733 PARKVIEW CT Owner SHAWN R/ LISA M CAMPBELL Create Date 11/17/2010
Designer Contractor STERLING CONSTRUCTION & RESTORATION
Category * 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy O 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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Repair fire damage* to include new roof trusses, drywall and new siding. All work shall comply with current building codes for any
of Work structural modifications/ repairs.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $47,000.00 Plan Approval $0.00 Permit Fee Paid $229.00 Park Dedication $0.00
Issued By: 9.27 Date 11/17/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1533050000
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 und the a men information.
Signature X ' # Date X 7 ( — 1 7 1°
Agent/Owner
Address 220 E FERNAU AVE OSHKOSH WI 54901 - 0000 Telephone Number 651 -9867
* 141 - Exterior 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
Fax(02) 236-5050 Of -HK I JH
Fax: : ( ( 2
(920) 236-5084
Building Permit Application ON TNF wATFR
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 2 3 3 Pa rk. U i e uv n e o Lit f"
OWNER 3 k &w r1 LtSC\ avv■pbeJI
CONTRACTOR -� ✓ (I 1/lc� J CO i. Yt,tc fi r.J 1 es ft Ira 4 -1
I am the: ❑ Owner OR 71Contractor
USE CATEGORY
'Single 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 ,4 nternal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
❑ Other
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
htto://dnr.wi.gov/org/aw/wm/publications/anewbubNVA651.pdf.
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to n?te if any additi na1 information is necessary.
❖ Full description of work being done: � 6L t YD0 tr/i1.S S PS p( IV �% r
re - Sio(e f a u.C J re- ro o-P- A.‘ b p(rywc.k1L.
-c too
Anv work not included in this application is not permitted.
Value of the job $ 7) 60 C) (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: \J C A / \AI V/1-- 5
(Please print)
a')
Signature: VA-
Date: I( C
3/02