HomeMy WebLinkAbout0145328-Building (exterior repairs) CITY OF OSHKOSH No 145328
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 673 MOUNT VERNON ST Owner MARIA E NASON Create Date 03/09/2011
Designer Contractor LEAD -SAFE SERVICES INC
Category * 141 - Exterior 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 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
• 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 / Exterior repairs to include rubber porch roof, window repairs, doors, gutters, soffit/fascia repairs, and front step guardrails. **debit
of Work acct
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: Date 04/04/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 0402660000
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 3905 COUNTY RD II TRLR 36 LARSEN WI 54947 - 9791 Telephone Number (920) 850 -5043
* 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.
r 09 11 12:25a
City of Oshkosh Dave Halverson 920- 720 -0521 p.l
Inspection Services Division
POBox 1130
Oshkosh, WI 54903 -1130 ED
Phone: (920) 236 -5050 Of HKOJ H
Fax: (920) 236 -5084
Building Permit Application- Additions ON THE a'ATFR
If volt are a contractor participating in the Perml, Fee Account Svxtem and ha_t+e adequate funds. check here
ifyou want this processed through your account
I
JOB ADDRESS C 7 3 (L r• L'6 ,JLJ ofL
OWNER f'1 A iLi /a, It) 4So /i
BUILDING CONTRACTOR L.(; i( , S/41✓/r ,S f= R Uf C, P, r/ L' C
ELECTRICAL CONTRACTOR P/66"; CI (S t , n.) 6 LL c r /Lt C.
PLUMBING CONTRACTOR {) 4- t.5 In 6GIf /-1 /0 1 C./ t
HEATING CONTRACTOR
I am the: D Owner OR Cir- Contractor
USE CATEGORY /�
Dingle Family DDuplex DRentai C
lb Full description of work being done: 41,),.5 j' i f it ' -c(a /2,'`o r- t,) i;, W oc,.) fe.,6 �,1-i tG,
dooL - ftI,Z, 7 444.w g e g rci.6 r-; urr�.it.S , So -i r /�1SL. /» , F:C4ii7
Any work not included in this application is not permitted. Please make sure to attach your
Plan Submittal Checklist to this application with all the reQuired information.
Building Value of the job not including mechanicals $ 1 0 i G O!) `*i o o O
PLEASE READ. SIGN, & DATE:
1 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: [ )f +i!G ,f7/r'Lu & J
(Florio print)
Signature: - _,
Date: 3- .ter - l
11/03
Received Time Mar. 8. 2011 9:53PM No. 4892