HomeMy WebLinkAbout0154435 - Building (kitchen remodel) CITY OF OSHKOSH No 154435
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1040 BOWEN ST Owner DONALD W DINGELDINE/JULIE A RUSSO Create Date 02/12/2013
Designer Contractor DAN V BINDER CONSTRUCTION
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign O Canopy 0 Fence O Raze
Zoning R-1 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 O Floating Slab 0 Pier 0 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/Kitchen Remodel*to include replacing cabinets and countertops, new flooring and painting.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: Date 02/12/2013 Final/O.P. 00/00/0000_
❑ Permit Voidedl Parcel Id# 1108400000
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 1224 W SOUTH PARK AVE OSHKOSH — 54902 - 6642 Telephone Number (920)231-2114
* 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.
L y �r OSklkosh
inspection Services Division -
PO Box 1I30 - -
Oshkosh, WI 54903-1130
Phone:(920)236-5050
Far.:(920) 236-5084
Building Permit Application N WAT
. _ 1 on - . • • •tin- , ,a • :r 3 e i •nd , !I.,- • •egygle ft�yids_ check here
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JOB ADDkESS- /O �0 O' c #1
OWNER 1,4 N Q e J.' e_ 1t.,
CONTRACTOR TID4'11 . 1/ ,.>de.,._.(74„,.,s i /#7c.
1 am the: Cl Owner OR / Contractor
SE CATEGORY • /
Single Family gDuplex C IMulu-Fannil}c ORental - DCommorcial Olrtdustrial
Work being done:
O Addition 0 Deck/Porch/Patio 0 Driveway/Parking
External Remodeling 0 Fence/HedgeiKrunet 0 Garage/Utility Sanctum
• O Handicap Ramp 0 Hot Tub/Spa kInternal Remodeling -
. : 0 Sign/Canopy/Awning 0 Stair/Handrail 0 Stove/Fireplace
0 Swimming Pool 0 Wrecking Permit
fl Ocher
Additional information,such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
4.■ Rill description of work being done:
1 . d- / , A
Ne - to .
5
An 'work Dot,included in thus annbcat1on_ is not nermittecl
ralne of the job$ 3/500-te (Value for materials anti Labor is required w ensure caasinenaY in aacasing permit zaxa for an.)pbcant t.)
LEASE READLSIG44. &DATE:
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 terns.
Name: �(a — , /g/;y de-
(
— -Picate print) —
Signature: .
Date: Q2/4 /ice
Received Time Feb. 11. 2013 2: 30PM No. 2294 / --- ___:_.