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HomeMy WebLinkAbout0146304-Building O'' CITY OF OSHKOSH No 146304 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 413 W 9TH AVE Owner GILBERT /GERALD P MEISINGER Create Date 06/13/2011 Designer Contractor VANDENBOOGAARD 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use /Nature SFR/ Bathroom Remodel* Bathroom remodel to include gutting the wall by the tub, installing a new vanity, installing a 2'8" door to the of Work bathroom, exhaust fan and flooring. HVAC Contractor Plumbing Contractor BARTELT PLUMBING Electric Contractor SECKAR ELECTRIC CO INC Fees: Valuation $5,700.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00 Issued By: Pit.../... Date 06/13/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 0906160000 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 rea. ands - rs ; � fore m -d information. ��� / Signature I. ,...,: \A enti i„ ars , a -.,� Dat Agent/Owner Address 918 EVANS ST Oshkosh WI 54901 - 0000 Telephone Number 426 -5821 * 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 P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 01HKO.IH 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 1) W. 944. 4i,c OWNER ti . l�i�)]V5e CONTRACTOR C'� A%�,, fY �cst� I am the: ❑ Owner OR ZContractor USE CATEGORY 1 ingle Family ❑Duplex DMulti-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 r 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: 'tom � >1�tx �.� ( ap.1 A/U t ,. c )e4 . ,f V d -- ) 2 " %,: i /OOL . j_46 31,3- A Any work not included in this application is not permitted. Value of the job $ 676)0. )c-) (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. I acknowledge and agree to these terms. • : P � t4L - t',,, Name: ,; �. �.,rc�r taAeci' lease print) i6eL,JeJLA Signature: ,�� i ,Q. Date: I t 3/02