HomeMy WebLinkAbout0153033 - Building (interior remodeling) CITY OF OSHKOSH No 153033
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1117 W 7TH AVE Owner RICHARD H TARNAWSKI Create Date 10/17/2012
Designer Contractor OWNER
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Canopy Building - O Sign 0 - 0
_ PY � Fence Raze I
Zoning R-2 - - --
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 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 0
Use/Nature SFR/interior remodeling of kitchen, living room,dining rooms to include removing drywall and opening up walls and ceilings/removing —i
of Work load bearing wall and replacing with TGI beam to be supported on the way to foundation per code/supporting second floor with new
microlam system per code/repacong two windows with different size windows,headers shall be done per code/new insulation on all
exterior walls/direct replacement of existing windows on first floor area
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $50.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: c C Date 10/17/2012
_-_ Final/O.P. 00/00/0000
❑ Permit Voided ' Parcel Id#0606480000
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 --• ecessary approvals before starting such activity.
I have read and un• d th afore mentions.:,►••rmation.
Signature
Date /0//7/0(.21/1-----
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
* 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.
f P O Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address /1 / 7-7
W• 7Th' Avg
Applicant Contractor Tenant Other(describe)
Owner/ Name Z1(71,6124) 7' - l,AlA/s(L/ Phone OA) 0233 -07;5-/
Tenant
Address 1 ( I 7 w• 7"rki 4t/ • Email
Contractor Company Name Phone
Contact Email
Address
State Credential #'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Ty s • Residential Single Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project , Riarto v£ LOAre, eraesie4 Al G wI.L R*f I-PccE Val 7 -j ?* ✓f
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heatin g by
Value of Job (7C)$J �� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cert the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name: ?( i-0 7'Al.,) 5 / (Please print) Date: /V//7 /0-0/Z"
Signature: ���
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