HomeMy WebLinkAbout0152066 - building (partial finish) CITY OF OSHKOSH No 152066
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2510 A HAVENWOOD DR Owner EUGENE H/NANA L VOGEL Create Date 08/30/2012
Designer Contractor OWNER
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-3 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 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/basement partial finish/adding new walls/framing will meet UDC code
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,500.00 Plan Approval $50.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: � Date 08/30/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1631000800
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 un tand the afore epitiyed inf 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.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.
G POBox1130
0 City of osl G ko sl L Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address 25104 (-1A VEnt W 00J> 1)2(Ve aSEfle_0Sc4, W( cggvL!
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �(.(.G-1.4.6 VO&eL- Phone /20 l5 62737
Tenant
Address 25 10 A E 4-4.V e N W 00 b p a l(le Email e'i'1 V ele(e c -r'7` r r1 ,
Contractor
Company Name �_ Phone _
Contact -1 lT
Address -
State Credential#' ,
_ %
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Regist . •a• #
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project $/SGwt6NT Ft r 11 SW t N 6- . 12'-O x 22-1_0 fk2E4 PLIAS
Description
LA-OP/N6", GENE✓R-AL F12,404 /M6-1 6t_C-cretc>44�, it fV'4c.
Mechanical Separate permits will be obtained for the following:
Permits Electrical by 0WNC( • Plumbing by Heating by OW11laR--
Value of Job $ ,/,5O,l0 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 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 acknowledge and agree to these terms. 2 /Name: , uUEN e V OGe L- (Please print) Date: 5/3-)/ l 2/iii.Signature: __ .. •,_►
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