HomeMy WebLinkAbout0142681-Building (remodel 2010) 4.
CITY OF OSHKOSH No 142681
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1130 N WESTFIELD ST Owner EVERGREEN MANOR INC Create Date 08/19/2010
Designer Contractor PACKER VALLEY BUILDERS, INC
Category * 140 - Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 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 0 Floating Slab O Pier O 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 COMM/ Unit MS1034/ Interior remodel* to include the kitchen and bathroom, drywall repair, replace cabinets and countertops, new walk
of Work in shower, remove 2 non -load bearing walls at kitchen to 1/2 walls.
HVAC Contractor Plumbing Contractor J RASMUSSEN PLUMBING INC
Electric Contractor BEEZ ELECTRIC INC
Fees: Valuation $6,700.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: 1■,,"' Date 08/19/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1608640000
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 aoornvaic hPfnre starting such activity.
I have read and n. -fore mention info • -tion.
Signature �-!�!!4 Date e--/7-,e)
..._ Agent/Owner
Address 2277 CLAIRVILLE ROAD OSHKOSH WI 54904 - 0000 Telephone Number 920 - 232 -7620
* 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.