HomeMy WebLinkAbout0154341 - Building (interior remodeling) CITY OF OSHKOSH No 154341
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1527 FOX ST Owner GERALDINE SERAPHINE Create Date 02/04/2013
Designer Contractor WIND RIVER CONSTRUCTION LLC.
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 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 O Pier 0 Other
0 Concrete Block O Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication - #Dwelling Units 0 #Structures 0
Use/Nature SFR/interior remodeling of kitchen and bathroom/all work will meet state and local codes/need to verify headers for windows and doors
of Work unless direct replacements/installing new cabinets,countertops and flooring/plumbing and electrical permits will need to be issued to
contractors before they start work/contractor will provide header sizing before work is done
1
HVAC Contractor THOMPSON HEATING AND COOLING SER\ Plumbing Contractor
Electric Contractor
Fees: Valuation $15,400.00 Plan Approval $25.00 Permit Fee Paid _ $136.00 Park Dedication $0.00
Issued By: --,.-1 . Date 02/04/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1600990000
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 se u{e any necessary approvals before starting such activity.
I have read an. un.-rstand the afore mer q�,./rformation 1 _
Signature —
AIR ta. Date2/-V(I :2 Agen Owner 111
Address 111 E. RIPPLE AVE. Oshkosh WI 54902 - 0000 Telephone Number 920-235-2246
* 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
0
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.
Building Permit Application
City of Oshkosh Inspection Services Division
❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
Project Address:/5 p2 7 J i y S / Circle one:(Single Fam—ii-D Duplex
Owner's Name: Y t 56?2 Jj/2/i t Aie Daytime Phone#:3/2-6 ,3,?/
Contractor's Name: G eO ecie htliK P;v&k ld itDaytime Phone#:?20
If the contractor is applying for the permit provide the following:
Dwelling Contractor# // 3 3 71,4 Contractor Qualifier# I1'1,1 21/
*These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $
*The value for both materials and labor is required to ensure consn assessing permit fees for all applicants
even if you're doing your own work A general rule of thumb is to double the material cost or provide an estimate
from a contractor.
Full description of the work being done:
i
!�I r"C,tt eiv �'. 1� d i , New CA-g. etf Jet/l)� to/A,7 .�GfI(��'keJ //cog
Qom ge m(7CL 1/ f4 vn, o A'14 / A � /k ,
e p (4 A k, i.1'u/A, r( � -E c,hz J4 r-u e zv'ek/ iQ1129( /1
Electrical Work is being done by:
Plumbing Work is being done by:
Heating Work is being done by: �'' p6/ lv ? -�,r, - 72e . --3e
Any work not noted on this application will not be included on the permit!
The following documents are attached to this application:
o 2 Sets of Framing Plans o Applicable fees
Please read the following and sign and date this application prior to applying for the building permit.
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional reviews and permits to be obtained. I acknowledge and agree to these
terms.
Signature: Date: //3#/43
4 1/25/2011