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HomeMy WebLinkAbout0152763 - Building (interior remodel) CITY OF OSHKOSH No 152763 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1001 E CUSTER AVE Owner MICHAEL J POTRATZ -- Designer Create Date 10/04/2012 Contractor GEFFERS REMODELING Inspector John Zarate — — Category * 140-Interior Remodeling Plan Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R-1 Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. E 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 0 Post 0 Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures Use/Nature SFR/remodeling kitchen to include new cabinets and counter tops/no walls being altered or opoened of Work HVAC Contractor Plumbing Contractor ABEL PLUMBING Electric Contractor Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication MOO Issued By: F Date 10/04/2012 Final/O.P. 00/00/0000 Ell Permit Voided I Parcel Id# 1509420000 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 u rstand the afore n ed information. Signature ,a.„42., / ' Date 1v/7//Z Agent/Owner Address 208 E SNELL RD OSHKOSH WI 54901 - 0000 Telephone Number 235-1422 * 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 of Oshkosh Inspection Services Division P O Box 1130 Oshkosh,WI 54903-1130r Phone:(920)236-5050 Floc(920)236-5084 Building Permit Application ON THE a Jf you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account f JOB ADDRESS / O 0 I F: Cu- -€-- OWNER Pa' 4 Z CONTRACTOR t c & G e-c -- Gef' --!' -e∎vt I am the: O Owner OR I,/Contractor USE CATEGORY 'Single Family ©Duplex OMulti Family Mental DCommercial Olndustrial Work being done: 0 Addition 0 Deck/Porch/Patio 0 Driveway/Parking 0 External Remodeling 0 Fence/Hedge/Kennel 0 Garage/Utility Structure 0 Handicap Ramp 0 Hot Tub/Spa Internal Remodeling 0 Sign/taaopy/Awning 0 Stair/Handrail 0 Stove/Fireplace 0 Swimming Pool 0 Wrecking Permit 0 Other Additional information,such as plan submittal and approval,may be required before issuance. Filers, located is the hallway,may be referenced to note if any additional infonnation is nary. • Full description of work being done: pe,p lase k. ,den c ot.. s ca,,,..*Ac y a 4yy� JQ�V D V� e �� rj ell G r i lvn �.NfJ Any work not included in this aimlication is not permittei. Value of the job$ $ 00 0 (Velue lbt*asterisk and toe is requited -) to ensure consistency in accessing permit fees for dl applicmns PLEASE READ,SIGN,&DATE: I certify the above information is complete and accurate. Any deviations from the above submitted ration may require additional permits to be obtained I acknowledge and agree to these terms. Name: be--k ( vtin9 Signature: ja Dam: /Xe 3/02