HomeMy WebLinkAbout0151655-building (remodel bathroom0 CITY OF OSHKOSH No 151655
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 740 BISMARCK AVE Owner WILBUR E PISCHKE Create Date 08/13/2012
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy C Fence 0 Raze
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ❑ Projection 1
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete C Floating Slab 0 Pier 0 Other
C Concrete Block C 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 existing bathroom to include removing the existing tub and installing a shower base and wall surround.
of Work
HVAC Contractor Plumbing Contractor AHERN-GROSS INC.
Electric Contractor
Fees: Valuation $5,100.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: Date 08/13/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 0602720000
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 230 N KOELLER ST OSHKOSH WI 54902 - 4109 Telephone Number (920)303-5797
* 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.
Aug. 9. 2012 12: 59PM REBATH CENTRAL WI 9203035935 No. 2962. P. 7/18
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Cit�,/. of 5 903-1130 P pox 1130
J f Ohk s�G Oshkosh,WI 5
0 Phone: (9 20)236-5 050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi-,u
AIMMW
Project
Address 0 smmvK LJSh KoSh
Applicant Owner Contractor Tenant . Other(describe)
Owner/ Name
Tenantls �� Phone
Address-140 61 crYWy K Email
Contractor Company Name
Phone_4 ' tJ, ..9191
Contact id f - Liz - •' I Email nfroV1,COm
Address mo u. roe Ier LET -I I ' i. A - 11 5490
State Credential#'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
Designer Phone
Contact Email
Address r Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
New Addition Alteration
Project
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by nn
y Plumbing by Ah r Heating by
Value of Job l 60
$ 1 Q� (Value for materials&labor is req.to ensure consistenc'in accessing permit fees for all applicants)
Payment by: Check # Cash Permit Fee Account
I cer rift the above information is complete and accurate. Any deviationsfi•om the above submitted information may require additional pernrits
to a obtained. 1 acknowledge and agree to these terms.
Name: . 117.1 a J t.
(Please print) Date:,09) -06 - 12
Signature: ifi L11 l ,: Ali i IL
r
Received Time Aug. 9, 2012 12 : 50PM—No. 0383' •