HomeMy WebLinkAbout0154384 - Building (fire damage) CITY OF OSHKOSH No 154384
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1755 MARICOPA DR#C Owner 2004 KNAUF FAMILY TRUST Create Date 02/07/2013
Designer Contractor SERVEPRO OF THE FOX CITIES INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type 0 Building O Sign O Canopy 9 Fence 9 Raze 1
Zoning R-3 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
O Concrete Block O Post O Treated Wood ----
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/fire damage restoration to include direct replacement of 11 trusses/500 square feet of decking and shingling entire roof/some
of Work minor reframing of fire damaged walls/all work will meet state and local codes
HVAC Contractor Plumbing Contractor
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $21,300.00 Plan Approval $0.00 Permit Fee Paid $167.00 Park Dedication $0.00
Issued By: c% Date 02/07/2013 Final/O.P. 00/00/0000
9 Permit Voided Parcel Id# 1315182300
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 provals before starting such activity.
I have read and un st' fo men • Aced information. ��
Signature Lam-°G'� Date G/��.
.� , .,"', (/' Date
Address 2235 NORTHERN RD APPLETON WI 54915 - 0000 Telephone Number 233-1110
* 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.
City r 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 /1 J / l/LL{O f/1` Qf(--
Applicant Owner ontractor) Tenant Other(describe)
Owner/ Name 647°,71r /42 l/r(As Phone
Tenant
Address /7Z--- TLC( p-Ovt. Email
Contractor Company Name c'k-i/P/D Phone 220 ^ /.5a '///D
Contact Email
Address 2 3 5- 4,(''4�/ I /e/ 44/64- Gvl
State Credential#'s A/05- , .2 {o/ gr ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial �A Industrial
Catagory New Addition 411teratio9
Project /0° /f1.9 14,i ..
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by R S Plumbing by Heating by
's i
Value of Job
$ ;• _ . (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certi.6)the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be o Joined. I acknowle e and agree to these terms.
Name: ,/ �.% d�,,, (Please print) Date: o?/j/j
Signature: At." �"/' �� :0-