HomeMy WebLinkAbout0151943 - Building CITY OF OSHKOSH No 151943
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 134 W 17TH AVE Owner DOMINIC A SHAFFER
Create Date 08/24/2012
Designer
Contractor OWNER
Inspector Nicole Krahn
Category * 140-Interior Remodeling
Plan
Type • Building O Sign 0 Canopy O Fence Raze
Zoning R-2 O
Class of Const: _ Size
Unfinished/Basement Sq.Ft. Rooms
Height Ft. [I Projection
Finished/Living Sq.Ft. Bedrooms
_ Stories Canopies
Garage Sq.Ft. Baths
Signs
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
O Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain
Height Permit
Park Dedication #Dwelling Units 0
#Structures 0
Use/Nature SFR1 Remodeling 2nd flr.according to attached site plan.All work shall be according to current code requirements. Sheetrock and finish
of Work 3 bedrooms and sitting area.
HVAC Contractor
Plumbing Contractor
Electric Contractor HIPKE ELECTRIC LLC
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid
�_� --. $25.00 Park Dedication $0.00
Issued By: � -
Date 08/24/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0305580000
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 bef• e starting such activity.
I have read an understand the afore m-• ned i ,, ation.
Signature _
Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
* 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.wf.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.