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Home My WebLink About0154750-Building (air sealing) � CITY OF OSHKOSH No 154750 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1107 W BENTAVE _ __ Owner JESSICA CANFIELD __ _ Create Date 03/14/2013 Designer Contractor ADVOCAP INC Inspector John Zarate Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence � 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 � Floating Slab � Pier � Other � Concrete Block � Post � Treated Wood -- _____ ___ Occupancy Permit Not Required Occupancy Fee _ $0_00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 UselNature SFR/Air sealing the home,attic insulation,installing a vapor barrier over the crawlspace floor,an in-line exhaust fan for the 2nd floor of Work bathroom and replacing the dryer venting. "debit acct � i HVAC Contractor J&M HEATWG LLC _ Plumbing Contractor Electric Contractor Fees: Valuation $4,324.37 Pian Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00 Issued By: Date 03/18/2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1205500000 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 PO BOX 1108 _ FOND DU LAC WI 54936 - 0000__ Telephone Number (920)426-0150 * 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 cali 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. ,� abas Ci of Oshkosh � � �Y � Inspection Services Division P 0 Box 1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax: (920)236-5084 O �--jKO H Building Permit Application ON THE WATER If»�u are a contractor participatingin the Permit Fee Account System and have adequate funds, check here i�you want this processed through vour account � JOBADDRESS I/�� Pr�-� A�e (�shkosh ��'�� OWNER �P�S 1 Cc� Ccar� �C I � c� ��-��— CONTRACTOR�'�/��P 1nU : DEPARTME:�T OF I am the: ❑ Owner OR ■ Contractor c��°�°�rrv�evetop!�tErrr iNSPIEf":ION SERViCES DI�7SIQ'V USE CATEGORY f�Sinble Farnily ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: 0 Addition 0 Deck/Porch/Patio ❑Driveway/Parking ❑External Remodeling ❑Fence/Hedge/Kennel ❑Garage/CTtility Structure ❑Handicap Ramp ❑Hot Tub/Spa C Intemal Remodeling 0 Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace C Swimming Pool ❑Wrecking Permit '�Other W e a} �'1 e r�z0.�'�o►'� 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. ❖ Full description of work being done: �Pe �,�or I� o r�e� Any work not included in this application is not permitted. Value of the job $ y 3 a y.,31 (Value for materials and labor is required to ensure consistency in accessing permit fees for all applicants.) PLEASE READ, SIGN, & 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 terms. Name: �,-�� -C��S c�r'� (Please print) Signature: �c�,.,� i�'1 �� Date: 3-/a-13 3/02