HomeMy WebLinkAbout0153037 - Building (insulation in attic) CITY OF OSHKOSH No 153037
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Owner HENRY WEITZ JR Create Date 10/17/2012
Job Address 345 S OAKWOOD RD — —
Designer Contractor TRUGREEN
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building 0 S ign ❑ Canopy ❑ Fence ❑ Raze
t
of Const:oons : Size
Zoning R-1 --- —
Sq.Ft. Rooms Height Ft. E] Projection 1
Unfinished/Basement
Finished/Living Sq.Ft. Bedrooms Stories - Canopies
Sq.Ft. Baths Signs
Garage _ _ —
Foundation • Poured Concrete ❑ Floating Slab ❑ Pier 0 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\Blown-in insulation in the attic
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor --
Fees: Valuation $1,450.00 Plan Approval $0.00 Permit Fee Paid $32.00 Park Dedication $0.00
Date 10/17/2012 Final/O.P. 00/00/0000
Issued By: --
❑ Permit Voide] Parcel Id#0654260000
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 yX stand the afore mentioned information. (n1/ 7112—
Signature
lJnjU/UU�, ---'�jT/�/' Date
Agent/Owner
Address 2015 W SPENCER ST APPLETON WI 54914 -4640 Telephone Number (920)378-237
* 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.
4 P O Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
PhFax:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
3 -- 2
Owner/ Name 1.-t .C� �`e_ �2— Phone Pam z Ilk"( Z
Tenant D
Address '1 45• �• O� OO�l fl Email
Contractor r Phone '13`� 4,1 5
Company Name Tv�u�r`l
Contact Z, � U�� \f-- f- Email
Address 2_U(S L"-- - 5( '_ioC c C j -
State Credential#'s ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project 1,, -\ L ny1'1.5 UPI(A-1
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtai I acknowledge and agree to these terms.
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Name: �G� � t- (�-�`1'��'� (Please print) Date:
Signature: I 7 ,/�