HomeMy WebLinkAbout0146797-Building CITY OF OSHKOSH No 146797
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2013 DOTY ST Owner CALVIN M SEIBERLICH JR Create Date 07/13/2011
Designer Contractor DAN V BINDER CONSTRUCTION
Inspector
Category * 140 - Interior Remodeling Plan
Type • Building O Sign O Canopy O Fence O 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 O Floating Slab 0 Pier O Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature Duplex/ Add bathroom* to the first floor.
of Work
HVAC Contractor Plumbing Contractor KOCH PLUMBING
Electric Contractor SLIM'S ELECTRIC INC
Fees: Valuation $2,000.00 Plan Approval $50.00 Permit Fee Paid $32.00 Park Dedication $0.00
Issued By: Date 07/13/2011 Final /O.P. 00 /00 /0000
1
❑ Permit Voided i Parcel Id # 1400700000
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 read and undeVand 2iiTation.
the afore ment'
/
Signature � Date
Agent/Owner
Address 1224 W SOUTH PARK AVE OSHKOSH WI 54902 - 6642 Telephone Number (920) 231 -2114
* 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.