HomeMy WebLinkAbout0153049 - Building (interior remodeling) CITY OF OSHKOSH No 153049
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1530 DOEMEL ST Owner MARK L WOKOSIN/DEBRA DEMLER Create Date 10/18/2012
Designer Contractor ANDERSON BROS INC
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type • Building ❑ Sign ❑ Canopy ❑ Fence ❑ Raze
Zoning R-1 _ Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height _ Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete ❑ Floating Slab ❑ Pier ❑ Other
❑ Concrete Block ❑ Post ❑ Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR\Basement wall repairs&stoop per attached contract
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation// $20,000.00 Plan Approval $0.00 Permit Fee Paid $148.00 Park Dedication _$0.00
Issued By: G Date 10/18/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1514400000
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 secu - -• necessary approvals before starting such activity.
I have read a•• under he afo ••ed information.
Signatur- �.! /! _ Date /e/'r
Agent/Owner
Address 2222 WHITE SWAN DR OSHKOSH WI 54901 - 2567 Telephone Number 920-233-4286
* 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.