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HomeMy WebLinkAbout0154641 - Building (repair fire damage) CITY OF OSHKOSH No 154641 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 310 W 16TH AVE _ Owner SUE F BRITTON LIVING TRUST Create Date 0.3/06/2013 Designer Contractor RESTORU LLC Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R-2 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 0 Pier 0 Other 0 Concrete Block 0 Post 0 Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required Park Dedication Not Required #Dwelling Units 0 #Structures 0 Use/Nature DUPLEX/Repairing the duplex due to fire damage. Gutting the entire house, installing a new roof including some rafters,windows and of Work vinyl siding. All work shall comply with code requirements. HVAC Contractor WESLEY HEATING&COOLING INC Plumbing Contractor BAUSCH PLUMBING _ Electric Contractor SECKAR ELECTRIC CO INC Fees: Valuation $115,000.00 Plan Approval $0.00 Permit Fee Paid $492.50 Park Dedication $0.00 Issued By: LO■/ Date 03/06/2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id#0904820000 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 - cure any ne -ssary approvals before starting such activity. r I have read a • iI•e /If a •r m ntioned information. Signature 1 Date �/>�( (J //2 Agent/Owner /� Address 101 WEST AMERICAN DR NEENAH WI 54956 - 0000 Telephone Number 920-722-4357 * 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. I P O Box 1130 I City of Oshkosh Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax: (920)236-5084 Building Permit Application www.ci.oshkosh.wi.as Project Address 3/ C) )(J A /4#0 e_ II 'y`' h A osA A Applicant Owner Contractor ) Tenant Other(describe) Owner/ Name U Q / / Tenant �� 0-0.s Phone 3s, )�Y( Address 1 (!j & ' . , 56 OP A Email I � J Contractor Company Name TV/ , \./ Phone �dd Y3 S? Contact S CO/1/GI of 'Q--3 Email S C 0 b re V o Ili ,/2-e(/ Address /00 ()\) ?CQ4'\ 9/' oo h State Credential#'s Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Mil\ Phone Designer Contact Email Address Permit Type Residential Single Family ential Dup el Commercial Multifamily Industrial Catagory New Addition (—Alteration Project KQP lm ` I1/'P ChkIa9�. V�, I V x.10 fOo� Weak, S Description V NQ) n cvNi ( Alp( gt) of 147(W o i . liter / V 5 fl Q1'45' Mechanical Separate permits will be obtained for the following: Permits Electrical by- �W Plumbing by+�,Q jJ 5 CA Heating by (Jvc'l/ Value of Job J//- V`��c�, '��- $ A 0© (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 cknowledge and agree to these terms. Name: G P/HS / 3 (Please print) Date: 3/0 Signature: gl-VaJ