HomeMy WebLinkAbout0154256 - Building (remodel bathroom) CITY OF OSHKOSH No 154256
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1.700 W LINWOOD AVE Owner LAWRENCE W/JOYCE A ST PIERRE 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 0 Raze -
Zoning R_1- Class of Const: Size _
Unfinished/Basement Sq.Ft. Rooms Height Ft.
El 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 bathroom to include converting the bathtub into a seated shower base unit and installation of a new vanity. This
of Work permit does not include plumbing work.
HVAC Contractor Plumbing Contractor UNKNOWN _
Electric Contractor
Fees: Valuation $6,820.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: ITV— Date 01/23/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1215400000
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. 2013111 : 28AM .REBATH CENTRAL WI 9203035935 , 3693 PP. 3/40)236.-5050 .
No ..Fax.'(920)236-5064
Building'Permit Application www ci.oshoshwits•
Project,Address it Adr,
.h A i' _ire, it 1(.2L .
Applicant Owne. �l
Contractor Tenant Oilier(describe)
ORroer/ Nam • _ _ / ! 1
Tenant -t. _ ' r C . Phone L' `.�c�b_�L)c51
A ddress jD U). l J ,/� ~.
Contra etor Company Name
�"' Email
Phone
•
Contact 1 /► — JJ Z-- ` - Email ^
• 2__. ' 04,4 . 1 ill •
. Address MAO ui 1 at' 'r S a ► •
_ t . .f.' 5190
State Credential#'s
.
Dwelling Contractor Qualifier# ' Dwelling Contractor# Buildinu ContrartorRcgistiation i,•
Achitect/ Company Name
Designer Phone
Contact .
Email
Address .
Single Family ~`
Permit Type Residential Sin
g y Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project - _ '�
Description
. .f .tea A. c' 1 ., ; ,- : . .
•
4
---------_____ i
r
Mechanical Separate,permits will be obtained for the following:
Permits '. Electrical by . .
• �v 1� Plumbing by Heating by
Value of Job $tQq iev1
u.`�!' (Value for materials&labor is req.to ensure consistent in accessing.permit fees for all applicants.
Payment.by Check # . . Cash
Permit Fee,Account
I cenrfy the above information u complete and accurate. Any deviations-from the above submitted information may require additional permits
to be obtained I acimowled and agree to these terms.
Name; t I e tin \ `
(Plese print). - bate:
�ti;
Received Time Jan. 21. 2013 11 : 19AM No. 2130