HomeMy WebLinkAbout0153500 - Building (remodel) CITY OF OSHKOSH No 153500
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1108 W BENT AVE Owner DAVID SCHNEIDER Create Date 11/12/2012
Designer Contractor OWNER
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign ❑ Canopy ❑ Fence ❑ 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 O Floating Slab ❑ Pier O Other
O Concrete Block O Post ❑ Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature RENEW PERMIT#148319 SFR/Remodel to include: new siding for 2 porches,gutting the house, installing new insulation, relocating 2
of Work interior staircases, new kitchen cabinets, adding 1st floor laundry,opening a wall in the dining room(header will be installed), new
indows, repairing the foundation as needed, new footing for the basement stairway to carry floor loads, new floor joists in the basement,
'dormer for the 2nd floor bedroom to provide natural light,egress and ventilation. **check#4901
HVAC Contractor OWNER Plumbing Contractor HOMEOWNER
Electric Contractor HOMEOWNER
Fees: Valuations L` $10,000.00 Plan Approval $0.00 Permit Fee Paid $88.00 Park Dedication $0.00
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Issued By:
Date 11/12/201.2 Final/O.P. 00/00/0000
❑ Permit Voided
Parcel Id# 1206910000
Cautionary Statement to Owners Obtaining Building Permits
101.65(1r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654(2)(a),the following consequences might occur:
(a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work performed under the building permit.
(b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a),because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
*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/publicatfions/anewpub/WA651.pdf
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 t. ec re any necessary approvals b fore starting such activity.
I have rea. -n. and rsta/
Date he or a coned i ormation.
Signatur
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Agent/Owner
Address 1108 W BENT AVE OSHKOSH WI 54901 - 2818 Telephone Number
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 City�,/ o Oshkosh P B of 'G Oshkosh,WI 504 903-1130 ox 1130
Phone:(920)236-5050
Building Permit Application
Fax:(920) sh.wi.us
www.ci.oshkosh.wi.us
Project
Address 170) L �jei2 f #11e.
Applicant rOwner) Contractor Tenant
Other(describe)
Owner/ �'�1„ , , 1
Tenant Name v i( .C7[\Yl 64 L,�j� Phone 970-2-33 �t 5�
Address F/7 Ui'uvi`'_ S4-f-e4 _._X C Q N£T
Email -' . I s Sc. hN, C
Contractor Company Name
Phone
Contact
Email
Address
State Credential #'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
Designer Phone
Contact Email
Address
Permit Type Residential Single Family_) Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration~
Project , 11
Description ! Y>✓wlU(/lG,��'/l
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbin g by Heating by
Value of Job ,.
$ /COO—0 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash
Permit Fee Account
I certi 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: ) L
(Please print) Date:
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Signatur•: ael , _ I