HomeMy WebLinkAbout0152411 - Building 1.014 CITY OF OSHKOSH No 152411
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 952 954 W 11TH AVE Owner LC REAL ESTATE GROUP LLC Create Date 09/07/2012
Designer Contractor SERVEPRO OF THE FOX CITIES INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building O Sign O Canopy O Fence 0 Raze
Zoning R-2 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 O Floating Slab O Pier O Other
0 Concrete Block O Post O Treated Wood --
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature DUP1(954)Remodel kitchen and dining room following fire. Framing repairs to include replacing shoulders,fire blocking and fire
of Work topping. Gutting kitchen,insulating and finishing with new cabinets. Replacing ceiling in dining room. Installing 2 new windows and 2
new doors-same size and opening. All construction shall comply with State and local building codes.
HVAC Contractor Plumbing Contractor R AND R PLUMBING, LLC
Electric Contractor VAN ERT ELECTRIC CO INC
Fees: Valuation $6,1 8 •• Plan Approval _ $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: �� Date 09/17/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1302900000
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 appr als before starting such activity.
I have read and unders d /� one ' formation.
Signature // Date /.
Agent/Owner •
Address 2235 NORTHERN RD APPLETON WI 54915 - 0000 Telephone Number 233-1110
* 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.
City' Oshkosh P O Box 1130
0 /'L/C Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address ' / Al 1/ ` SlL
Applicant Owner ractor ) Tenant Other(describe)
L45"'ner.Name 2A f Af. ,,'
Tenant Phone
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Email Mott; ,k ,Coizt
Contractor Company Name S�j°1/
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Contact C -13; `1//
Email
Address :„a53 , aZJ`/YtfN I.
State Credential#'s 42,0 145-- 'tr'1?1( '
Dwelling Contractor Qualifier# Dwelling g ontractor# Building Contractor Registration#
Achitect/ Company Name
Designer Phone
Contact Email
Address
Permit Type Residential Single Family ( R siciantial Duple j Commercial Multifamily Industrial
Catagory New Addition eration )
Project _
Description ` ' ■ fC e 4 ��” -
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by /4 C--czT- Plumbing by T 4 IZ Heating by
Value of Job / CX'-
$ �/'a (Value for materials&labor is req.to ensure consistency in accessing n g 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.
Name: (Please print) Date:
Signature: