HomeMy WebLinkAbout0153823 - Building (basement remodel) CITY OF OSHKOSH No 153823
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2451 NEWPORT CT Owner RONALD/KENLYNN M AKIN Create Date 12/05/2012
Designer Contractor SALZIEDER BUILDERS
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building O Sign O Canopy ❑ Fence O Raze
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection 1
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature RES/Finishing off one room in the basement per submitted plan. Studding in walls. Finishing off with t&g wood planking and
of Work suspended ceiling. All construction shall comply with State and local codes.
HVAC Contractor Plumbing Contractor
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $5, Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: y Date 12/05/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1322140000
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 under nd the afo e toned formation.
Signature �� � Date //—
Agent/Owner
Address 2470 NEWPORT COURT OSHKOSH WI 54904 - 7317 Telephone Number 233-4850
* 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.
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
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name xt an Ili 17,c) Phone Z 33- S
Tenant
Address Z 45'/ /l'€4.-"�,-,T 61----L Email
Contractor Company Name / -i'P-%i. /5t,/1,„,,,., Phone a 3) - c25=13-6
Contact 6-47 Email
Address 2-1-/ //J2tfiAll/r 71 <
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type ` sieiential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition lteratio
Project F1./f`s' ■e17"? i''► /54-se m e,77-
- 7
Description Co. ("Jo.. /J
1 ' L / 7tisOl..1Ane.:: L67LiIvLr
Mechanical Separate permits will be obtained for the following:
Permits Electrical by (�,rv,n..,,n..t,S Plumbing by Heating by
Value of Job
$ ��� a (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # -1 l( (e 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 obtained. I acknowledge and agree to these terms.
Name: G�r7 541:z i C,C,,^ _ (Please print) Date:
Signature: 4 _Are'