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Home My WebLink About0145691-Building (weatherization) CITY OF OSHKOSH No 145691 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1217 EVANS ST Owner EULONDA L MARTIN Create Date 05/03/2011 Designer Contractor ADVOCAP INC Inspector 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 Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use /Nature SFR/ Weatherization* To include insulating and weatherstripping. Any HVAC , plumbing or electric work will require separate permits of Work from tics contractors. HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $5,300.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00 Issued By: q Date 05/03/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 1509790000 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 understand the afore mentioned information. Signature Date Agent/Owner Address PO BOX 1108 FOND DU LAC WI 54936 - 0000 Telephone Number (920) 426 -0150 * 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 ( 0 , P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 0J -IKJH Building Permit Application ON THE WATER If y ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here fyou want this processed through your account HOWE. TINA 1 2e An te 95499 JOB ADDRESS 1 21 7 Eva n5 5+ 1217 EVANS ST. R J OSHKOSH, WI 54901 385 -0949 OWNER E vI On dOL rfr CONTRACTOR ,D 1n�, I am the: ❑ Owner OR • Contractor 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 ❑ Internal Remodeling ❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace ❑ Swimming Pool ❑ Wrecking Permit . D 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: see a+ o ched work ord e r APR 2 7 2011 DEPARTMENT OF Any work not included in this application is not permittecPMMUNITY DEVELOPMENT II PECc ION SERVIC:FS DIVISION Value of the job $ (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 1 acknowledge and agree to these terms. ; . .. Name;. An. r) , M ,, I,, ar S o r-) (Please print) Signature: 0,,,,,,,, Jm Date: '/ -z I J 3/02