HomeMy WebLinkAbout0146410-Building CITY OF OSHKOSH No 146410
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1016 KANSAS ST Owner RONNIE L/ANN R PALM Create Date 06/17/2011
Designer Contractor PEAK TO PLATE BUILDERS LLC
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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR\ Bathroom and laundry. *Remove 12' X 8' screen porch walls, reframe w/ 2X6 walls for new bathroom and laundry. Framing floor to
of Work main level w/ 2 X 8 blocked joists 16" o.c. Exit to rear yard to remain - new landing and steps. All work to comply with current code.
HVAC Contractor UNKNOWN ? ?? Plumbing Contractor SOPER PLUMBING
Electric Contractor JP ELECTRIC LLC
Fees: Valuation $4,000.00 Plan Approval $50.00 Permit Fee Paid $46.00 Park Dedication $0.00
Issued By: AO Date 06/17/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1305560100
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 a cessary appro efore starting such activity.
I have read a • : he afor ntioned information.
Signature ! Date C//0(
Agent/Owner
Address 16 W EW YORK AVE OSHKOSH WI 54901 - Telephone Number 920 - 312 -3465
* 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.
331
Building Permit Application
r •
C 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: /0 f' �6;f5 5( Circle one: 4.111110 Duplex
Owner's Name: �7 Daytime Phone #: q
Contractor's Name: Pea/ 7 ?at &5j //t'fs Daytime Phone #: / 2,6 - 3 / 2 p 3516
If the contractor is applying for the permit provide the following:
Dwelling Contractor # Contractor Qualifier #
*These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $ 1
*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:
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Electrical Work is being done by: S? 6 /eI,-,c.
Plumbing Work is being done by: 57pec Pt /,,'
Heating Work is being done by: 0A4 /
Any work not noted on this application will not be included on the permit!
' 'he fo l lo wing dp cum.er is r a ched to thx C7):;.:07 ,l y = t ; b y a
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Please read the following and sign and date this application prior to applying for the building permit.
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional reviews and permits to be obtained. I acknowledge and agree to these
terms.
Signature: Date: - 1
8
4 1/25/2011
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