HomeMy WebLinkAbout2011-Building eD CITY OF OSHKOSH No 145317
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1101/1111 S WASHBURN ST Owner CHARLES /MARY STUSEK Create Date 04/04/2011
Designer Contractor G F RUPPEL CONSTRUCTION
Category 223 - Alteration Offices, Banks, Professional Plan No Formal Revi
Type • Building O Sign O Canopy 0 Fence 0 Raze
Zoning Class of Const: VB Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished /Living Sq. Ft. Bedrooms Stories 1 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 No Height Permit Not Required
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature 1111 S Washburn St / Interior alterations to convert office space into Beauty Salon as per plans provided. HVAC will require formal plan
of Work review. No Sturctural Changes, All work to comply with ADA requirements.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3 00.00 Plan Approval $0.00 Permit Fee Paid $208.00 Park Dedication $0.00
Issued By: Date 04/04/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided I Parcel Id # 1311940300
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 ap. ' -tion within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to securecessa proval efore starting such activity.
I have read and unde - --,, d the of entio information.
Signature �� ,t/ 4/�/
't / Date '! j ,
Agent/Owner
Address 4507 STONEFIELD DR OSHKOSH WI 54902 - 0000 Telephone Number 920 - 235 -6710, 585 -31
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
0 --
Inspection Services Division
P Bo 1130
Oshkosh, , WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OJHKOJH
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 / //l 4/rnj if
OWNER Cf ,Try 5rie5
CONTRACTOR C. c gyer
I am the: ❑ Owner OR a Contractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family [Mental IBCommercial ❑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
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: A a+e% / A;,./i9yr
ao.t" s,Q /ate
Any work not included in this application is not permitted.
Value of the job $ 41000 o` (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.) 3 9rb R+
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: Ciftyy '? Vase
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