HomeMy WebLinkAbout0146342-Building CITY OF OSHKOSH No 146342
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 522 W 10TH AVE Owner ERNEST R SPAEDTKE Create Date 06/14/2011
Designer Contractor VIENOLA BROS CONSTRUCTION INC
Inspector Nicole Krahn
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 & Stairway to 2nd floor *Remodeling the 1st floor bathroom to include adding laundry facilites (an exhaust fan
of Work and new 36" door will be installed). Reconstructing the stairway to the second floor including turning the stairway to provide a code
compliant landing and steps.
HVAC Contractor Plumbing Contractor O'NEILL ENTERPRISES INC
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00
Issued By: kfr Date 06/14/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1300170000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the Cit • hkosh has no authorit • - • •rce easement restrictions of which it is not a party, if you perform the work
described if this per it application . ' in a r - aseme the City strongly urges the permit applicant to contact the easement
holder(s) -nd to secur- any ne ssary •provals befor: starting such activity.
I have re- • and underst- d e - = e mentioned info ation.
Signature!_ . : � Da f�
Agent/Owner
Address PO BOX 3306 OSHKOSH WI 54903 - 3306 Telephone Number (920) 303 -0934
* 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
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 01HKO.lH
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 n
JOB ADDRESS �, p` t c f r4
OWNER - 5 - d jr-1//1 Z) t_ —
CONTRACTOR V / Ie,vc /,( SOS
I am the: ❑ Owner OR Contractor
USE CATEGORY
"ingle 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 `sternal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
❑ Other T F! ,[!) 42A1'17
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallwa may be referenced to note if ny additionaj.i mation is necessary. cs
••• Full description of work being e: 01 ¢ 1 /t & '+ � � i " S
Any work not included in this application is not permitted.
job $ .)5� of
Value of the
J (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 = , igree to these terms.
,(C,c. -...— N. Ilk
y 'lease print)
T L""S7—D — Ot_ro.r..._ Signature:
Date: La/ '/ii
3/02