HomeMy WebLinkAbout0145208-Building OD CITY OF OSHKOSH No 145208
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 546 ALGOMA BLVD Owner WISCONSIN CHRISTIAN MINISTRIES INC Create Date 03/21/2011
Designer Contractor JJ GEFFERS INC
Category * 140 - Interior Remodeling Plan
Type 0 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 0 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 COMM/ 3 bathroom remodels *Updating three existing bathrooms to include relocating one toilet and one sink. No walls are being
of Work opened and /or moved. The exhaust fans are existing.
HVAC Contractor Plumbing Contractor UNKNOWN
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: k....--
Date 03/21/2011 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id # 0702490000
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 ity strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals befor- arting such activity.
I have read and e tand the afore rr� ioned 1. •rmation.
Signature _- , ` (� /// Date -,2/ - ./7 iir ir
Agent/Owner
Address 3965 WESTERN DR ' OSHKOSH WI 54901 - 9707 Telephone Number 231 -2637
* 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 -5084 OJHKOIH
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 3" 6 4/, R// C'
OWNER c € i y ?
CONTRACTOR b--P-F 3
I am the: ❑ Owner OR Acontractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental {Commercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ Extemal Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming o Pool ❑ Wrecking Permit
)(Other R
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 , dditional inf i rmation is necessary.
• Full description of work being done:
t_ -1-0‘t0- 4 tw4-// s AiotzeS__,
LA —? &z�e,vU e' .
Any work not included in this application is not permitted.
Value of the ob $ �(j- ---�'
J � (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 ese terms.
—L Name: J�soil 6t te4
( Please print)
, — t Signature:
Date: G 3 -
3/02