HomeMy WebLinkAbout0152505 - Building (Kitchen remodel) CITY OF OSHKOSH No 152505
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1820 MITCHELL ST Owner JAMES/KIMBERLY S DREWS
Create Date 09/20/2012
Designer
Contractor OWNER
Inspector John Zarate _
Category * 140-Interior Remodeling
--- -- Plan
Type Building
--. g _— 0 Sign 0 Canopy _ 0 Fence 0 Raze
Zoning R-1 J
g — _— Class of Const:
Size
Unfinished/Basement --—
Sq. Ft. Rooms Height Ft.
-- ❑ Projection i
Finished/Living Sq.Ft. Bedrooms
Garage --- Stories Canopies
g Sq.Ft. Baths
Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier
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/kitchen remodel to include new flooring, cabinets,countertops and sink/no structural changes and no walls being moved or altered
of Work
L
HVAC Contractor
—
Plumbing Contractor
Electric Contractor
Fees: Valuation $14,800.00 Plan Approval $0.00 Permit Fee Paid
--- — 00 $118.00 Park Dedication $0.00
Issued By: V_`i .. —
Date 09/20/2012 Final/O.P. 00/00/0000_
❑ Permit Voided I Parcel Id# 1217780000
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 an nderstan the of r metonefor tit
Signature Um G
Date l I L c7 ) 1 2
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.
City o /ikos
of Oshkosh P O Box 1130
/„L Oshkosh,WI 54903-1130
Phone:(920)236-5050
236-5084
Building Permit Application Fax:(920)w ww.ci.oshkoshsh.wiwi.us us
Project
Address
Applicant OwneV Contractor Tenant
Other(describe)
Owner/ Name j 41111{'S y
Tenant p I� M hG( ' IJ t'ec Phone v/21')-- LI� - (���I
Address I 0 rat) 1�'1,-f-r-4►le r1) --Cf- Vi11 V-- nA Email J 1�- 44 K-1,.1G
Contractor Company Name c _f, [( ? ��� ��
p Y f h ].. 1 / S Phone Ll 2 b 4 3 ,-j
J � 1
Contact I t /t
Email
Address 'r byk r, 1,, ( , ) 1 .CI-161 e I
State Credential #'s V`�
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
Designer Phone
Contact Email
•dress
Permit Type Residential Single Family Iesidential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration -
Project h . ' /
Description G?'j �Yl
n41,) l;A-cAe,,, (1,90,b DIii7Al fIDO/ , ZOO. lb
4
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbin g by Heating by
Value of Job
$ i 9 toa t o D Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check #'Mao _ 4.0 Cash
Permit Fee Account
I certib,the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
oe obtained. lack Wedge and ree to these terms.
Name: t'''\ < I gyp_ `mac �,
�—J .�// h� (Please print) Date: "Z I '2-0 I I 2—
Signature: