HomeMy WebLinkAbout0151653 - Building (remodel bathroom) CITY OF OSHKOSH No 151653
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 609 E IRVING AVE Owner JEFF M/THERESA M SALZMAN
Designer
Create Date 08/13/2012
Contractor -- —
REBATH O F CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140_Interior Remodeling
Plan
Type • Building 0 Sign 0 Canopy Raze
Zoning R-2 ---- 0 Fence � R -- --- —
- 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
Other
0 Concrete Block O 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 1SFR/Remodeling the existing bathroom to include the installation of a new tub and wall surround. No other areas of the bathroom are
of Work being remodeled.
HVAC Contractor --
-----------------
- Plumbing Contractor MT.MORRIS PLUMBING
Electric Contractor —
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid
$46.00 Park Dedication $0.00
Issued By: k_b^--
Date 08/13/20.1.2 Final/O.P. 00/00/0000
Permit Voided] Parcel Id#0405990000
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
------ ----- _—_ _— P (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: 58PM REBATH CENTRAL WI 9203035935..
No. 2962 P. 1/18
1�i�y o �s�kos • P..O Box 1130
Oshkosh, WI 54903-I130
Phone:(920)236-5050
Building Permit Application WFax:(920)236-5064
W wci.o9hkosh.wi.us
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Address F•. II V I •
Applicant Owner Contractor
Tenant • Other(describe)
Owner/
Tenant Name S. 'S/ , o- / I V '
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Address 1 69 € IYvi s ;V 4
Contractor m Email
Company Name .
Phone
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State Credential#'s
Dwelling ContracKOrQualifier#
Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
Designer —�_
• Phone
Contact
Email
Address
rif=1 Residential Single Family Residential Duplex
illa= P Commercial Multifamily Industrial
New Addition 41=12130— —"ljIIIIIIIIIIIIIIIIIIIIIIIIIIN.E
Project
Description
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Mechanical Separate.pennits will be obtained for the following: •
Permits
Electrical by
plumbing byALMOYF"t g Heating b
Value of Job g Y
(Value for materials&labor is req.to ensure co wisteria in accessing permit fees for all applicants.)
Payment by: Check # .
Cash Permit Fee Account
1 ceri( the above infr rmation is complete and accurate. Any deviationsJrom the above submitted it formation may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: . Qbdif't LCQ,r62 .
(Please print) Date: O
Signature: t,.�+-ti _1 �. .i�`
•
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Received Time Aug. 9. 2012 12 : 50PM No. 0383