HomeMy WebLinkAbout0147017-Building (weatherization) CITY OF OSHKOSH No 147017
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1527 FOX ST Owner GERALDINE SERAPHINE Create Date 07/19/2011
Designer Contractor ADVOCAP INC
Inspector Nicole Krahn
Category * 141 - Exterior 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/ Weatherization* To include insulating, weather stripping and ventilation. Any heating, plumbing or electric work will require
of Work separate permits from licensed contractors.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,775.34 Plan Approval $0.00 Permit Fee Paid $94.00 Park Dedication $0.00
Issued By: Date 07/28/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided l Parcel Id # 1600990000
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 understand the afore mentioned information.
Signature Date
Agent/Owner
Address PO BOX 1108 FOND DU LAC WI 54936 - 0000 Telephone Number (920) 426 -0150
* 141 - Exterior 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.
S
City of ,.5u.
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130 111
Phone: (920) 236 -5050
Fax: (9)0) 236 -5084 Oil KO/
Buildin Permit Application OtJTF' W
Ir -, U re a contractor " tic1lCiing in the Permit Fee 4C ,_S Steen ara ±L ote l )' 1 C . e
if bolt YI a t_ti11 ro e"seci throuc7h your aCcourt is
JUL 19 2011
gEPARTMENT OF
?c�?3.41�DRESS 1yJ - � � c?� -- - - - - — COMMUNYTY pEV�LOpMENT
L e.`cY v", 50,1 akkn -- ----- - - - - -- - - — NSPECCIO� SERVICES pIVI SION
I any the: ❑ Owner OR • Contractor
USE CATEGORY
*Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial
Work being done:
Addition ❑ Deck/Porch/Patio 7 Driveway /Parking
[1 External Remodeling LI Fence /Hedge/Kennel n Garage /Utility Structure _
Iiandicap Ramp 1 Hot Tub /Spa C Internal Remodeling
1 Sign /Canopy /Awning 1 Stair/Handrail Li Stove /Fireplace
Swimming Pool Wrecking Permit
-Other ( . . 0 r er i - L4 - tor -.
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.
°s Full description of work being done: PA,kalo.r-S. ‘...)0( L., O(A..a.t ___ --
Air work not included in this application is not permitted.
;y ; a }7; e of the job S !Van:e for materials and labor is remr:red t., ens,.r consis:enoy in accessing permit fees for a,
1 ' S I READ. SIGN, & DATE:
/ cc:/.iii,, the above information is complete and accurate. Any c eviaiious from the above submitted
.r)rincition May require additional permits to be obtained. I ackno utilecL e and agree to these terms.
Name: _x _LQ_rSa
(Please print)
Signature: CL-- n
Date: 7 - 1 1
3/02