HomeMy WebLinkAbout0154754-Building (weatherization) � CITY OF OSHKOSH No 154754
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1201 CEAPE AVE _ Owner 1201 CEAPE LLC _ _ Create Date 03/08/2013 '
Designer _ Contractor ADVOCAP INC
Inspector John Zarate
Category * 140-Interior Remodeling _ _ __ Plan
Type � Building � Sign � Canopy � Fence � Raze '
Zoning C-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 � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood _—. __ _ __
Occupancy Permit _ Occupancy Fee _ $OAO Flood Plain Height Permit :
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Weatherization'To include insulating and weatherstripping. Any HVAC,plumbing or electric work will require separate permits ,
of Work from lics contractors. "debit acct
i
HVAC Contractor _ _ Plumbing Contractor J
Electric Contractor
Fees: Valua'on _�887.32 Plan Approval _ _ $0.00 Permit Fee Paid _ $65A0 Park Dedication __ $0.00
Issued By: Date 03/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0804700000
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 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 wili 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 � �
Inspection Services Division �
POBox 113� �
Oshkosh,VVI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084 O HKO H
Building Permit Application ON THE WAT�R
1 ou are a contractor participatingin the Permit Fee Account System and have adequate funds check here
i vou want this processed through vour account �
JOB ADDRESS toZ (� � C'eape � Vf �S �/��S ��+,�,y �,I�D
OWNER �Q +'� /�i^i") l rl —
CONTRACTOR AD�,�P 1i7�.
MAR 0 7 2013
I am the: ❑ Owner OR ■ Contractor "�'''az�����TOF
�:3l45`:`�^;'tiY.��i'�:f�P�1E.VT
INSPECTiuti SERVTCES D1�7SIQ�Y
USE CATEGURY
❑Sinble Farnily �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
0 Addition ❑Deck/Porch/Patio ❑Driveway/Parking
❑Extemal Remodeling ❑Fence/Hedge/Kennel ❑Garage/Utility Structure _
❑Handicap Ramp ❑Hot Tub/Spa C Internal Remodeling :
❑ Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace
G Swunming Pool ❑Wrecking Permit
�Other VVeq��e (�Iz-ca�10 � �
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: 5 e e c>,�aeh�d �.,�c��k o��d� �s :
Anv work not included in this application is not nermitted.
Value of the job $ y �,� � . 3� (Value for materials and labor is requued 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
ir�ormation may require additional permits to be obtainec�'. I acknowledge and agree to these terms.
Name: �n rl I�a r J o�l
(Please print)
Signature: �,,.,,�- Y�'� �c�. �2--«
Date: 3-6-13
3/02