HomeMy WebLinkAbout0154255 - Building (remodel bathroom) CITY OF OSHKOSH No 154255
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1733 IOWA ST Owner DUANE R PILLAR/LEANNE D RYAN Create Date 01/23/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence O 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 O Pier O Other
0 Concrete Block 0 Post O 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 existing bathroom to include the installation of a new bathtub,walls and a new vanity and countertop. This permit
of Work does not include the plumbing permit.
HVAC Contractor Plumbing Contractor UNKNOWN
Electric Contractor _
Fees: Valuation $10,214.00 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
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Issued By: I Q J ._.- Date 01/23/2013 Final/O.P, 00/00/0000
Permit Voided Parcel Id# 1404590000
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.
Jan. 21. 2013 11 : 27AM REBATH CENTRAL WI 9203035935 No. 3693- . P. 1/4')236-5084
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Building Permit'Application - .� -W.
- .. . . . �i.osltr,;a
Project . j .4 Address , `l '-b. . t► ;{r
Applicant • Owner Contractor •Tenant •.`Other(describe) •
Ownelr/ Name O `t � • l 1 ) IGL y Phone/ D- �t b �l
Tenant -
Address .1 - tY 1 ti 1 6 s / ._ ' Email
Contractor Company Name Re 190-j--h Phone 1 s g1
Con tact Email Zie rQm
Address ofi_.. 0 i s' 'r 1.4:41 • kill__ • - _ c f Ij • ii r.
_ State Credential#'s , ,
Dwelling Contractor Qualifier et Dwelling Contractor# Building Contractor Registration ti
Achitect/ Company Name • Phone --
Designer
Contact Email .
Address • - - - .
Permit Type Residential Single Family Residential Duplex Commercial - Multifamily Industrial
• Category New Addition Alteration . . .
Project - — .•
Description ,
rep d • • 1i4►1 * i0'' ' -Uv1 • 11 ,S .: a_! - . -
-
Mechanical Separate.perrnits will be obtained for the following: •
Permits Electrical by• Plumbing by Heating by
Value of.Yoh s 106?) DD (Value for materials&labor is req.to ensure-consistent in accessing permit ices for all applicants-)
Payment by • Check # ; Cash• Permit-Fee Account
1 certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to he o ta..ed I acknawle e gr to these terms
Name:.
. (Please print) DSte:
Signature: r *ek- L j(;v
.. • . . , •
. .
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Received Time Jan. 21. 2013 11 : 19AM No. 2130