HomeMy WebLinkAbout0152635 - Building CITY OF OSHKOSH No 152635
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 932 EVANS ST Owner EMILY J KLASKE LIFE ESTATE
Create Date 09/27/2012
8880_
Designer
Contractor REBATH OF CENTRAL WISCONSIN
Inspector John Zarate
-- ---------8888-- ---
-
Category * 140-Interior Remodeling
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Plan
Type • Building - 0 Sign
Canopy 0 Fence 0 Raze
Zoning R-1
Class of Const:
Unfinished/Basement - - Size
Sq. Ft. Rooms Height Ft.
Finished/Living El
Sq.Ft. Bedrooms Stories
Garage Canopies
Sq.Ft. Baths
Signs
Foundation 0 Poured Concrete 0 Floating Slab (J Pier
Other
O Concrete Block 0 Post (9 Treated Wood
Occupancy Permit Not Required Occupancy Fee
0800, $0.00 Flood Plain 0000__ Height Permit
Park Dedication
#Dwelling Units 0
Use/Nature SFR/Remodeling the bathroom to include the installation of a new walk-in shower. This permit does not include plumbing work.
of Work
HVAC Contractor
-
- Plumbing Contractor MT.MORRIS PLUMBING
Electric Contractor 8885
Fees: Valuati.n $6,583.00 PlanA
583.0_ Approval $0.00 Permit Fee Paid
$67.00 Park Dedication
i,,._ $0.00
Issued By:
Date 09/27/2012 Final/O.P. 00/00/0000
Permit Voided
Parcel Id# 1108580000
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
Agent/Owner Date
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� CR BATH CENTRAL WI 9203035935
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Phone:(920)236-5050
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• Building permit Application
Fax_(920)23G-5084
www.ci.oshkosfi.wi.Us
Project
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Applicant Owner _ -- � � •
Contractor Tenant
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Owner/
Tenant Name i� �� I
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Designer
Company Name Building,Contractor Regiyion#
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Phone
Contact
Email
Address
Ex= itesidential Single Family Residential Duplex
Catagory • New P Commercial Multifamily
Addition Altcration- Y Industrial
Project
Description
1
' , -
•
Mechanical Separate e -
Mecha permits will be obtained.for the following:.
Electrical by
Plumbing by
Value of,Tob S dD Heating by
(Value for materials&labor is req.to ensure consistent in accessu� a
h permit rmit fees for all a
-� • Cash" applicants.)
Payment by: Check #
I per t the above information is Permit Pee Account
I er obtained, complete and accurate. Any deviations from the above submitted information may
I acioro edge and agree to these terms.
-Name: / _8.• -wit. require additional permits
(Please prier) Date:. q' �'
.Signature; • 1 1 • >_zsi i ti
Received Time Sep, 27. 2012 11 : 57AM No. 1009