HomeMy WebLinkAbout0152634 - Building (interior remodeling) CITY OF OSHKOSH No 152634
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 934 ARMORY PL Owner KENDALUCHRIS KAMKE Create Date 09/27/2012
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140 Interior Remodeling Plan
Type • Building 0 Sign O Canopy O Fence O Raze
Zoning R-1 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 0 Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature FR/Remodeling the bathroom to include removing the tub and wall surround and installing a new wall surround. This permit does not
of Work include plumbing work.
HVAC Contractor Plumbing Contractor AHERN-GROSS INC.
Electric Contractor
Fees: Valu tion $5,543.00 Plan Approval $0.00 Permit Fee Paid - $60.00 Park Dedication $0.00
Issued By: Date 09/27/2012 Final/O.P. 00/00/0000
❑ Permit Voider Parcel Id# 1308550000
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.
Signature Date
Agent/Owner
Address 230 N KOELLER ST OSHKOSH WI 54902 -4109 Telephone Number (920)303-5797
* 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.
Sep. 27. 2012 12: 06PM REBATH CENTRAL WI 9203035935. - No. 3157s1i1«P: 7/1003=1130
y CJ ..•......."I .-��,v.1/G Phone:(920)23155OSO
rax:(920 236-5084
• Building Permit Application • w }wrv. Ci.osltkosli.wi.us
•
Project q
Address �\ A0 • .1 - lb_ t .0 i _ NM .
Applicant Owner Contractor Tenant • Other(describe)
Owner! Name ' A qua
Tenant 1_ �L ,0 1 /. Phone r i
Address et .a ,t► 010 1 IOU I , a A . Email .
Contractor Company Name
Phone 3 ..5.191
Contact Li 2 q E Email 2-& ' /fit/ ij/ •
Address 62 • g. i /A' ,r- I %[41 0 ■ A • _ c I At`A . is e ,
•
State Credential#'s _
Dwelling Contractor Qualifier it Dwelling Contractor# Building Contractor R gistration
Achitect! Company Name.
Designer Phone
Contact Email
Address •
Permit Type +( -- -._ - it Residential Duplex Commercial Multifamily Industrial
Catagory. New Addition
Project
Description _ _
• • A �' li • h -, ! ' ti • 1 (', A
. .• . tika. ... . . . _._A- r . , .
. .
Mechanicapermits will be obtained.for the following:
Permits cal by Plumbing b
'�$ Y ,� . Heating by
Value of _(Value for materials&labor is rcq.to ensure consistency in accessing permit fres for'all applicants-)y: Check # Cash Permit Fee..Accout
!cert&the above information is complete and accurate- Any deviations from the above submitted information may require additional permit.-
to he obtained. !acknowl,Pe.and agree to these terms. V
Name: e- [,l (Please print) Date: — 1
Signature: I .* I ifl ' il1k`%A.s
•
•
Received Time Sep. 27. 2012 11 : 57AM No. 1009