HomeMy WebLinkAbout0154424 - Building (remodel basement) I CITY OF OSHKOSH No 154424
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER Create Date 02/11/2013
Job Address 2.781 W 9TH AVE
Owner CHRIS W/DEBRA A FENZL
Contractor INSIDE OUT CONSTRUCTION
Designer _—----- ------ ---- — --
Inspector Nicole Krahn
Category * 14 Plan
0-Interior — —
Fence � Raze �
Building O Sign O Canopy O
Type Size
R-3PD Class of Const: —__ ---
Zoning --- I
Unfinished/Basement Sq.Ft. Rooms Height Ft. n Projection- —
Sq. Ft. Bedrooms
Stories Canopies
Finished/Living -- --
Signs
Sq.Ft. Baths —
Garage -- --—
Foundation • Poured Concrete 0 Floating Slab O Pier 0 Other
O Concrete Block O Post O Treated Wood -- —
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
#Dwelling Units
0 #Structures 0
Park Dedication _ _ ------ ----
Use/Nature ;CONDO!Remodeling the existing basement to create a half bathroom and family room.
of Work
Plumbing Contractor SOPER PLUMBING _
HEATING AND COOLING
BE HEA
HVAC Contractor
Electric Contractor ZARDA ELECTRIC LLC _--.
Fees: Valuation _$_11,975.00 Plan Approval $50.00 Permit Fee Paid $112.00 Park Dedication $0.00
` Date 02/11/2013 FinallO.P. 00/0010000
Issued By:
[J Permit Voided Parcel Id# 1311971100
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 derstand the afore men. d infor ion. Da �� ��
Signature _��� l
Agent/Owner
— —-
OS_HKOSH WI 54902 - 5879 Telephone Number 920-426-956 2
Address 5833 KOELPIN RD ---
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin mini For inforrmationNotification
hazards present i in buildings see
Asbestos Program website; http://dnr.wi.gov/air/comp /
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 Na a Number,Type
peo of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your
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
01 �
j Oshkosh,WI 54903-1130
City of OS�Lko-S'L Ph a : (920)236-50
Fax:(920)236-5084 84
www.ci.oshkosh.wi.us
Building Permit Application
Project s AK'Address
Applicant
Owner 'ontrastor. Tenant Other(describe)
Phone
Owner/ Name 'Z� '-'\-_,
Tenant e '\� Email
Address �T
z„c - bs�Phone __• `
Contractor Company Name _
Email \.� c S e s.e?‘ :C u,.p
Contact\1---,..4,'N ��
Address S ks.`1-, v-•0_, S C, O
�Z2'/ 21
State Credential Ws_____-(1:Z2±7±2,1_____
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration
Phone
Achitect! Company Name
Designer Email
Contact
Address _
Permit Type Residential Single Family e • •a-• 'al Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project 6 L of 6._ �� �1
Description
Mechanical Separate permits will be obtained for the following:
�/ lno/1 Heating by/if ` r
Permits Electrical by 7.� :4./G Plumbing by
Value of Job $ �7 .9 (PJ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by:
Check #2141_ 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 he obtained. 1 acknowledge.nd agree to these terms.
Name: 7/ •/
-I (Please print) Date:
7r=s
Signature: