HomeMy WebLinkAbout0151376 - building (remodel Kitchen) CITY OF OSHKOSH No 151376
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1155 ALGOMA BLVD Owner JEANNE W TONDRYK Create Date 07/25/2012
Designer Contractor PAUL DAVIS RESTORATION
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1C 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 S 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/Remodeling the kitchen to include new drywall, new cabinets and flooring. The existing window will be replaced with a smaller
of Work window(no header change). Replacing the carpet in the living room.
HVAC Contractor Plumbing Contractor T&J PLUMBING INC
Electric Contractor WRIGHTS ELECTRIC LLC
Fees: Valuation) $25,000.00 Plan Approval $0.00 Permit Fee Paid $163.00 Park Dedication $0.00
Issued By: " Date 07/25/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0507180000
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 u the afore mentioned information. �v
Signature • --� Date C 7 21
Agent/Owner
Address 1320 GILLINGHAM RD NEENAH WI 54956 - 0000 Telephone Number 920-318-1154
* 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.
O P O Box 1130
Ar I City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Address � C S ' 1 ^ .Vo
Applicant Owner Contractor,. Tenant Other(describe)
Oewner ant Name f)Q,i�1 i� 1;fle(rvJ( Phone 920,-4y/-o 31
Address US} /7 1c9 Q'"`4 h/till Email
Contractor Company Name PPt IA f fJ c14�ij Ad.f/f,A 11' ..\ Phone %ZG'._3 l S 1/5 Y
Contact /CA t J n tie G ?l?d Email fCWOVA-1(g24tr-USq,Aef
Address / 3 -2-G C r /1 l'nfC ivi,i /-6)1. Ae^c,I 4 t f911
State Credential#'s /)L/ 4 S'a ci 1 l i0I\? 'Ng "NM `'j4t',
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition ,ill
Project PQSiefs; Q A f"'1Qficf�l C Lae; ‘y A2 �l, -
Description c�JJ /
f it N? '- add l'n k(,./Ctne
lVc i F1,00 ilel Leo-/fjroes"
Mechanical Separate permits will be obtained for the following:
Permits Electrical by LO Puli
fr �--(40 Plumbing by Heating by
Value of Job
S Q5 cod-ac (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 1 Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowl ge a d agree to these terms.
Name: / !`C(,'t I f t„,e4Ovec - (Please rint) Date:
p 7/2-yz
Signature:
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