HomeMy WebLinkAbout0152761 - Building (interior remodeling) CITY OF OSHKOSH No 152761
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1712 DOEMEL ST Owner JOAN K LLOYD
Create Date 10/04/2012
Designer Contractor GEFFERS REMODELING
Inspector John Zarate --------
Category * 140-Interior Remodeling
Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze_ J
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 0 Floating Slab 0 Pier 0 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/interior remodeling of kitchen to include replacing kitchen cabinets and counter tops/no walls being opened or altered
of Work
HVAC Contractor Plumbing Contractor ABEL PLUMBING
Electric Contractor BRENNAN, DENNIS
Fees: Valuation $8,000.00 Plan Approval _ $0.00 Permit Fee Paid $74.00 Park Dedication $0.00
Issued By: -W Date 10/04/2012 Final/O.P. 00/00/0000
❑ Permit Voided l Parcel Id# 1514310000
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 un stand the afore °ned information. /
Signature ,,,,,e/ f Cam— Date (®< 4 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.
noriffit sl..,..L...._t:r_- - -
City of Oshkosh
'#1111111111
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-50$4 OfFICIFI
Building Permit Application ON THE WATER
if von are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed throveh your account f
JOB ADDRESS I 7 1 2- b v e
OWNER LIcy3
CONTRACTOR b G -ec-Ce.r.1 (fie ,-o(5-2.t 1,tt
I am the: ❑Owner OR i;i1 Contractor
USE CATEGORY
'Single Family ❑Duplex DMulti Family CIRental OCommercial Olndustriai
Work being done:
a Addition 0 DeckfPorchhPatio 0 Driveway/Parking
0 External Remodeling 0 Fence/Hedga/i nel 0 Garage/Utility Stye
0 Handicap Ramp ❑Hot Tub/Spa Internal Remodeling
o Sign/Canopy/Awning o Stair/Handrai 0 Stove/Fireplace
❑Swimming Pool 0 Wrecking Permit
0 Other
Additional information,such as plan submittal and approval,may be required before issuance. Fliers,
located in the hallway,may be referenced to note if any additional information is=comm.
• Full description of work being done: ,Iva" cek,6 r,.te43 erf+01
a ►.�
, � ce ,ail ar C•,;1.111
/bye I _
C/tC t�.� ' YTJsA•s $re^^Art
Any work not included in this auulication is not nennifted.
Valise of the job 3, 00 0 (Vanity se and for is required to ensure consistency in accessing permit fees for all
PLEASE READ.SIGN.&DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
lion may require additional permits to be obtained I acknowledge and agree to these terms.
Name: b•.n t e-CT+ 3
(Pleasoptint)
Signature: ce(4 ,�
•
Dare: /V c f/ �"t6
3/02