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Home My WebLink About0154578 - Building (kitchen remodel) � CITY OF OSHKOSH No 154578 : Z OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER 3--vZ rj--f 3 �rv, JobAddress 825 FREDERICK ST Owner DANIEL J/GINGER M LENZ Create Date 02/28/2013 Designer Contractor LONGWORTH CONSTRUCTION INC Inspector John Zarate Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence � Raze _ _� Zoning R-2PD 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 � Floating Slab � Pier � Other � Concrete Block � Post � Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 � _ --. _ ._ __ _ —_ __ _ _ Use/Nature �SFR\Kitchen cabinets, insulate,replace some(3-4)and reroof � of Work '� i I � I HVAC Contractor Plumbing Contractor Electric Contractor DIERSEN ELECTRIC LLC Fees: Valuation $14,000.00 Plan Approval $0.00 Permit Fee Paid $124.00 Park Dedication $0.00 Issued By: Date 02/28/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 1005880000 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 AgenUOwner Address 3206 LEONARD POINT LN OSHKOSH WI 54904 - 0000 Telephone Number 379-1179 * 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 Environmentai 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 pe�formed within two business days from the time the project is ready. CITY OF OSHKOSH No 154578 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 825 FRANKLIN ST Owner JASON J/KELLY L DAHSE Create Date 02/28/2013 Designer Contractor LONGWORTH CONSTRUCTION INC Inspector John Zarate Category * 140-Interior Remodeling _ Plan Type • Building 0 Sign 0 Canopy O Fence O Raze Zoning R-2PD 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 0 Post 0 Treated Wood -_ Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature SFRI Kitchen cabinets, insulate, replace some(3-4)and reroof of Work I � HVAC Contractor _ Plumbing Contractor Electric Contractor UNKNOWN???? Fees: Valuation $14,000.00 Plan Approval $0.00 Permit Fee Paid $124.00 Park Dedication $0.00 Issued By: Date 02/28/2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1006140000 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 un and the afore mentioned information. Signature ( J..J �- ❑ Date Dit)-V )k Agent/Owner 1 Address 3206 LEONARD POINT LN OSHKOSH WI 54904 - 0000 Telephone Number 379-1179 * 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 of Oshkosh 5 P Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 Building Permit Application www•ci.oshkosh.wi.us Project Address 825 Frederick St Oshkosh, WI 54901 Applicant Owner X Contractor Tenant Other(describe) Owner/ Name Daniel J Lenz Phone 920 236-9318 Tenant Address 1776 Hunters Glen Dr Oshkosh 54904 Email dggrslenz @sbcglobal.net Contractor Com an Name p Y Longworth Construction Phone 970 379_1179 Contact Jim Longworth Email Address 3206 Leonard Pt Lane Oshkosh. WI 54904 State Credential#'s (p-(� (4,9 1 4,(aci Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name na Phone Designer Contact Email Address Permit Type x Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition XAlteration Project Kitchen cabinets, insulate Description paint, linoleum, replace some windows, and tear off and replace roof shingles. Electrical permit by others. Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ 14,000 (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: Longworth Construction (Please print) Date: I � Signature: Ja es Li' •worth