HomeMy WebLinkAbout0154656 - Building CITY OF OSHKOSH No 154656
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1875 BERNHEIM ST Owner PAUL R/CHERYL E MICHLER
Designer — — Create Date 03/07/2013
Contractor DAN V BINDER CONSTRUCTION
Inspector Nicole Krahn — -
Category * 140-Interior Remodeling
— — — Plan
Type • Building O Sign — 0 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 0 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 p
#Structures _ 0
Use/Nature 1SFR/bathroom remodel/adding interior walls and knee walls around shower and rest of bathroom/forming up a closet where existing
of Work shower unit was located/all work will meet local and state codes/separate electrical and plumbing permit
HVAC Contractor — Plumbing Contractor
Electric Contractor
Fees: Valuation $3,500.00 Plan Approval $50.00 Permit Fee Paid
$58.00 Park Dedication $0.00
Issued By: ...717r—
Date 03/07/2013
_ Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1332210000
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 arid understand the fo ntione formation.
Signature `�l�w/ _
Date -� /3
Agent/Owner
Address 1224 W SOUTH PARK AVE OSHKOSH WI 54902 - 6642 Telephone Number
--- __---_ P (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.
PO Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Pe40.4_ 4/6,41).g--/ Phone
Tenant
Address /? 5 X3R('J1-I/0 Email
Contractor Company Name ,e/ OE,L C-611./.52— Phone .��9— 7,437
Contact //197 /31.4)L f Email
Address / ,..294 �, 5, 7)/ iel(
State Credential#'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project 163/2, 7'hLgOo/77
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job opO
$ cam�G (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: / /1W /3//94!)/23e (Please print) Date: 3 —7—/3
Signature: 1,s�