HomeMy WebLinkAbout0153478 - Building (interior remodeling) CITY OF OSHKOSH No 153478
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1051 VAN BUREN AVE Owner GENE B LANGLITZ Create Date 11/09/2012
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block O Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Remodeling the bathroom to include pulling out the cast iron bath and installing a shower and wall surround. This permit also
of Work includes replacing the cabinets. Mt. Morris is doing the plumbing work assocated with this project.
HVAC Contractor Plumbing Contractor MT. MORRIS PLUMBING
Electric Contractor
Fees: Valuation $9,400.00 Plan Approval $0.00 Permit Fee Paid $88.00 Park Dedication $0.00
Issued By: A(�V Date 11/09/2012 Final/O.P. 00/00/0000
0 Permit Voided Parcel Id# 1607300000
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 understand the afore mentioned information.
Signature Date
Agent/Owner
Address 230 N KOELLER ST OSHKOSH WI 54902 - 4109 Telephone Number (920)303-5797
* 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.
1/2:0)236,50.50
U Nov. 8. 2012010: 26AM REBATH CENTRAL WI 9203035935 , . .. - ,.- No, 3383 pp,
• Fax:(920)236-5084
. .. Building Permit Application . . www.cloihkosh.wi-us
Prøject
Address
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Applicant Owner Contractor Tenant Other(describe)
,
. Owner/ Name *A . t i . ,,,A
• . am& & 11 0- Phone_9 _
•. Ten a n t
Address It. 1. A 6 '.11 Email_
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Contractor Company Name Re ba+1i . Phone
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Address. , 0 k. A Si." 'r , 41i--1 0., , , 8 A _ C • lir . •
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State Credential#'s
•
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Dwelling Contractor Qualifier# Dwelling Contractor# Building Contrackmit
A.chiteet/
Company Name
• • Phone
Designer
• Contact
Email
........_______
Address . .
Permit Type Residential Single Family Residential Duplex ---Contifamily Industrial
Ca tagory. New Addition Alteration •
Project _ . , . •
Description
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Mechanical Separate permits will-be obtained for the following: , — ---------
Permits • El .. i by
Plumbing bY.,H-I-. Noy-,-,. 5 Heating by
— _
Value of Job . CIAJor)
_ , (Value for materials&labor is to ensureconsistencv in accessing permit fees for all applicants.)
Payment by • Check # . • Cash •• Permit Fee Account
/eerti,6,the•abdve information is complete and accupate. Any deviation:from the above submitted information may require additional permits
LI be obtained I ac/cnowle•ge and agree to these terrnr.
0
Name: " r-- g -L. - (Please print) Date: - -Ii.-__ __
. Signature: /At 0At 0 4 It . .
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Received Time Nov. 8. 2012 10 : 18AM No. 1587