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HomeMy WebLinkAbout0154397 - Building (interior remodeling) CITY OF OSHKOSH No 154397 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1121 MOUNT VERNON — V--__— ST Owner MR/MRS WILLIAM W FENLON Create Date 02/11/2013 Designer --- ------ — -- Contractor DEL TRITT CONSTRUCTION LLC Inspector John Zarate —— ---- —___ _ Category * 140-Interior Remodeling Type Building O Sign -- — — — Plan — — --- O Canopy O Fence O Raze Zoning R-2 __ _ _____ Zoning Class of Const: Unfinished/Basement - Size -- Sq. Ft. Rooms Height Ft. —e — Finished/Living ----- ❑ Projection Sq. Ft. Bedrooms Stories Garage Canopies Sq.Ft. Baths Signs Foundation • Poured Concrete 0 Floating Slab 0 Pier Other 0 Concrete Block 0 Post 0 Treated Wood ----------------------- Occupancy Permit Occupancy Fee ---- $0.00 Flood Plain Height Permit Park Dedication — #Dwelling Units p Use/Nature SFR\Redo 2nd fir bath and ceiling below-repairs following leaking+kitchen alterations #Structures p — — of Work HVAC Contractor Plumbing Contractor C SWEETING PLUMBING LLC Electric Contractor CUMINGS ELECTRIC INC — — Fees: Valuation $11,000.00 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication Issued By: ��--� -- -- ----- cation --- - $0.00 Date 02/11/2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1003670000 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 - d un.-rstand the afore mentioned information. Signature / ,. — •ce e-a Agent/Owner Date Address 6228 COUNTY RD N PICKETT - -- WI 54964 - 9533 Telephone Number 589-4209 _ * 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. { r PO Box 1130 City of Oshkosh • Oshkosh,WI 54903-1130 Phone: (920)236-5050 Fax:(920)236-5084 Building Permit Application H-ww.ci.oshkosh.wi.us Project Address //c7-2 / e. '®? D'7 Applicant Owner (—Contractor , Tenant Other(describe) Owner/ Name .` [1`j- Mdhicac !ti. /---e vtl a A Phone Tenant Address J/0? / /17774- ,1 f'0" .2 c. Email Contractor Company Name De I TT, f Z`1'- CO n S-)1 Phone Contact D �? 1 Email Address (p,,a g Co -V A) P1 1/4dC z2 ( ( 6-o State Credential#'s , , Dwelling Contractor Qualifier 4 Dwelling Contractor 4 Building Contractor Registration 4 Achitect/ Company Name Phone Designer Contact Email Address Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration Project Pia f ` - -P D ` i— t7 j , -S/ Q �r I-c cL C Description JI f CI / / v c I.1 © -f. CL i vL. CZs I` frt. kJ...I-CIL -e r.--- S' v, cee° r a el / 4.4..)c, !/ " n L " si ci -e .T/,C, k;,4,L 4 /mil 6t r - Mechanical Separate permits will be obtained for the following: Permits Electrical by ��++ �� Y l� u ►'✓j S' Plumbing by St.('e .... 1 rt Heating by 1 Value of Job $ 4.5 C)c Co (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # 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 be obtained. I acknowledge and agree to these terms. Name: 0 1 —1--r-a' 14— (Please print) Date: � l /.3 Signature: e