HomeMy WebLinkAbout0153853 - Building (kitchen remodel) CITY OF OSHKOSH No 153853
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 410 E LINCOLN AVE Owner THOMAS/CYNTHIA DEVOE _ Create Date 12/05/2012
Designer Contractor STEVE WIRTZ CONSTRUCTION
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building O Sign 0 Canopy O 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 0 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 kitchen to include new cabinets,countertops,flooring,drywall,windows and trim.
of Work
HVAC Contractor Plumbing Contractor BRADLEY PLUMBING
Electric Contractor KOLLMANN ELECTRIC LLC
Fees: Valuation $9,600.00 Plan Approval $0.00 Permit Fee Paid $88.00 Park Dedication $0.00
Issued By: Date 12/05/2012 Final/O.P. 00/00/0000
El Permit Voided Parcel Id# 1004010000
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 N6334 TOWER ROAD FOND DU LAC WI 54937 - 7321 Telephone Number 920-923-6063
* 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.
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G P O Boa 1130
City of Oshkosh Oshkosh,W154903.1130
�� Phone:(920)236-5050
Pax:(920)236-5084
Building Permit Application www.ci.oshhosh.wl.us
Project Lt Q t c;1-.- L iAcol r\ ? f)Uu pea/ .604 $1/Jo
Address
Applicant Owner C`-"'ttractor Tenant Other(describe)
Owner! Name T6 vi n a 1 Be l/0 t✓ Phone ('?2o) a7% - g 5 (
Tenant y ardit,
Address 4.i 0 V. !!--t!1 n L 01 I7 �"L Email
Contractor Company Name s+G(lt W t e D{7S fU fl aYtJ Phone (q2.4 4a3--(00/a3
Contact (Sk 7 k7trfz_ Email Sfzcr e STr !h° td�lrf4 /of'4
Address N(o 3�Ll T a- - '&a-cL r d cLu La' 16/ 617137
State Credential#'s a51 L.? 0 Faf0(I3
Dwelling Contractor Qurl ides-tl Dwelling Contractor II Building Contractor Registration N
Achitect/ Company Name Phone
Designer
Contact Email
Permit Type (esidential Single Fail Residential Duplex Commercial Mutiifaniily Industrial
Catagory New Addition Alteration
Project
• Description
(s1 lc! l o i'► C Z44.)! (�t_L / ca t l h k- ' /up- � (-71ro -i Yl Q -
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Mechanical Separate permits will be obtauxd for the following:
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Permits Electrical by eo11''ta'in €1l Plutnbtngby (d1 11Uribrr.l Heating by
Value of Job s 460 C V alue for material+&labor is
• N req.to ensuro consislenc iu accessing peunil fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify dm above ii formation Is complete andaccurate. Any deviations from the above subniRted information nay require additionalpennits
to be obtained. 1 acknowledge"and agree to these terms.
Naine: 514-e L�}, Z.- _(Please print) Date: / —
Signatttre:
l a6ed xed dH kid20:£ Z60Z co