HomeMy WebLinkAbout0146166-Building CITY OF OSHKOSH No 146166
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1239 BAY SHORE DR Owner GERALD J /DIONE M GUNTHER Create Date 06/02/2011
Designer Contractor FVTC- FOUNDATION
Inspector John Zarate
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\ Finishing basement according to attached floor plan
of Work
HVAC Contractor ANDRESEN SHEET METAL Plumbing Contractor SBS PLUMBING LLC
Electric Contractor UNKNOWN ? ? ??
Fees: Valuation $19,000.00 Plan Approval $0.00 Permit Fee Paid $142.00 Park Dedication $0.00
Issued By: Date 06/02/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 0803930000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary pprovals before starting such activity.
I have read and and stand the mentio ed infor ation.
Signature `A't , Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number 920 - 232 -6015
* 140 - Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Building Permit Application
n
� � (ity� of Oshkosh Inspection Services Division
❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
Project Address: L Z 3 , i$c-i) ,.5f7 ec .b2 Circle one: Single Family Duplex
Owner's Name: e1 } tO J. L../gin./6.A_ Daytime Phone #: Z 53 — 3673
‘ex �. Gi ur ) eo ---
Contractor's Name: to (41 ct w / tit If. /Ov4.--# Ub"Daytime Phone #: Z 3 2- ‘ 0 / 5--
C g
co f�tr)r ractor �Y) E T e hz GA.e2c,_.
he
t nt is applymg for the permit provide the following:
Dwelling Contractor # 7/ 0'6 Z ( Contractor Qualifier # Z7 z_7 6S
*These two credentials are required by the State of W Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $ j 9 , 00 D
*The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants
even if you're doing your own work. A general rule of thumb is to double the material cost or provide an estimate
from a contractor.
Full description of the work being done:
34 e r /3uit.a -o ' ;
nt is wtotiG l/l' Lletw& 1 Pc u 0.1/3 /.✓6 l -/E/ 4
/11/SUL/9 % /O/v I •Jfi 4- //Z i &'
—
Electrical Work is being done by: V 1e. - P/4 i J Ew JF' " ( /60/6 ? 92°
m n done by: S,BS t9� � Z3 3 s �}� ,....e.1586
H bin Work is is being bei g done by: /a AJ D r2E S Ei✓ i .5 IjEr D �? - S' tq T i' - Z.3 5_0 3 Z3
Any work not noted on this application will not be included on the permit!
Please read the following and sign and date this application prior to applying for the building permit.
I certifii the above information is complete and accurate. Any deviations from the above submitte
information may require additional reviews and permits to be obtained. 1 acknowledge and agree to these
terms.
Signature: Date: 4/// l
4 5/12/2011