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Home My WebLink About0146301-Building (bathroom repairs) CITY OF OSHKOSH No 146301 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1865 CLIFFVIEW CT Owner THOMAS J /LISA J ZELLMER Create Date 06/10/2011 Designer Contractor DAN V BINDER CONSTRUCTION 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/ Repair bathroom ceiling and walls* to include removing and replacing drywall. No structural alterations. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $3,700.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00 Issued By: Date 06/10/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 1524940000 Cautionary Statement to Owners Obtaining Building Permits 101.65(1 r) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a building permit with a statement advising the owner that: If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under s. 101.654 (2) (a), the following consequences might occur: (a) The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. (b) The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one and two family dwelling code or an ordinance enacted under sub. (1) (a), because of any bodily injury to or death of others or damage to the property of others that arise out of the work performed under the building permit or because of any bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. * 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 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 app 'cation within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure a ecessary approvals before starting such activity. I have read an_dend the aforeme ne rmation. Signature / �V Date -4-1--/1-1—() Agent/Owner Address 1865 CLIFFVIEW CT OSHKOSH WI 54901 - 0000 Telephone Number 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 O�I I�O�I I Fax: (920) 236 -5084 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 ISb5 C1tc€■ CT. OWNER — Tc;rn Ze , m 12_ • CONTRACTOR 1 •7154+K rJ • • 'J' • i . I am the: = Owner OR ❑ Contractor USE CATEGORY ttingle 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 , nternal Remodeling 1'1C- t b\'1t1 cR-. ❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace ❑ Swimming Pool El Wrecking Permit �1 O T� ther Va cS KJ� `4" GA 1t112ia 140 -11 r a41y;S 4, 4it d 'kJ S�' - -i nM For Extemal Remodeling, Wrecking Permit, and Internal Remodeling please see Chapter NR 447 of the Wisconsin A mind istrative 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: //d nr.wi.gov /org /aw /wm/ publications /anewoub/WA651.pdf. 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: Rerp01-c , 0„11 shoo e y� .,n,{ ,e, C p-f pcxkln t W� - ,_ pcxxviko, CIY` .xYIemem o'r • ` l C arti 1 t • ► ' .�L1L _ el I 1• • 1' 0. as • 4 x11 " • : • • _n ire L • Any work not included in this application is not permitted. 00 Value of the job - qOd (Value for materials and labor is required to ensure consistency in accessing permit fees for all applicants.) PLEASE READ, SIGN, & DATE: I certifi 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: JJ� Ze(Ir Q_ / (Please print) Signature: : % AL Date: yity/ 3/02