HomeMy WebLinkAbout0151656 - Building (replace tub0 CITY OF OSHKOSH No 151656
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER Create Date 08/13/2012
Owner LARRY D LAMBRECHT
Job Address 911 S SAWYER S ---
Contractor REBATH OF CENTRAL WISCON - -__
Designer -
Inspector Nicole Krahn
_ - --- - ---- Plan --
Category * 140-Interior Rem odelin ------
Canopy Type • Building 0 Sign 0- -/ PY — .- C Fence O Raze -----
Zoning R-1 Size
-----
Class of Const: - 1
-- Pro ecUon
Unfinished/Basement Sq.Ft. Rooms
Height Ft. � 1
Finished/Living Sq.Ft. Bedrooms
Stories Canopies
- - - Signs -- -
Sq.Ft. Baths - —
Garage - --"-
Foundation • Poured Concrete O Floating Slab 0 Pier
Other
O Concrete Block O Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain
Height Permit
0 #Structures 0
Park Dedication #Dwelling Units — -
Use/Nature SFR/Remodeling the existing bathroom to include replacing the existing tub. No other areas of the bathroom are being remodeled.
of Work
------------
Plumbing Contractor MT.MORRIS PLUMBING ---__
HVAC Contractor -__ -----------------
Electric Contractor
Fees: Valuation $4,800.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park
Date 08113/2012 Final/O.P. 00/00/000
Issued By: Permit Voided Parcel Id# 1307630100
;
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. Date
Signature
Agent/Owner
OSHKOSH WI 54902 - 4109 Telephone Number (920)303-57
Address 230 N KOELLER ST --- -
* be -Interior Program website9http://dnr.wi go/a r/compenf/asbestos/Administrative
For additional information oon'hazards present in buildings see
Asbestos emoram ,
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pd
Inspection schedule inspections Service, Final, etc.),Access into Building if Secure(how the Address, Permit Number,Type of we gain entry),your Name and Phone
Inspection (i.e. Footing,Servic )
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. 13/18
City r P 0 Box 1130
Cil. O Oshkosh L Oshkosh, (9 54903-5050
1/ Phone:(920)236-5050
J Fax:(920)236-5084
Building Permit Application WWWer•oshkosh.wi.us
•
Address 0 a 0 Y f 'e-i- I h, 4 Ui) 9-004
Applicant Owner Contractor. Tenant Other(describe)
Owner/ Name ON ler n karAbriC Phone
Tenant
Address ♦ - g6 , II -C Email
Contractor Company Name e bft 1 Phone S —,51 91
Contact M00 Li 2- ` � Email ' Plitt. it d •
Address IV • JCOe1 Ier '-i-r l Os‘hKOkh LOITontin %c
State Credential#'s •
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 Alteration _ .
Project
Description . II
tIl a •:1 4ll[ • t / / • Va - (cj I !! at
• _ J' 'Le '
Mechanical Separate permits will be obtained for the following: // 11
Permits Electrical by Plumbing by 1"iT Morris Heating by
Value of Job $ L4800.Oea (Value for materials&labor is req_to ensure consisted in accessing permit tees for all applicants.)
• Payment by: Check # Cash Permit Fee Account
I certify die above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to a obtained. I acknowledge and agree to these terms.
Name: 1 vtAbr V\ `I u.o,V'ez_. (Please print) Date: 03-Otb'12
Signature: _._
Received Time Aug. 9. -2012-12 : 50PM—No. 0383 .
•