HomeMy WebLinkAbout0154752-Building (air sealing) � CITY OF OSHKOSH No 154752
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER '
Job Address 312 DAKOTA ST __ Owner LOIS M EATON _ __ Create Date 03/14/2013
Designer Contractor ADVOCAP INC
Inspector Nicole Krahn
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
FinishedlLiving _ _ Sq.Ft. Bedrooms Stories _ Canopies
Garage __ Sq. Ft. Baths Signs
Foundation � Poured Concrete 0 Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood --__ _— _ _
Occupancy Permit Not Required Occupancy Fee __ $0.00 Flood Plain Height Permit
Park Dedication ___ _ #Dwelling Units 0 #Structures 0
Use/Nature SFR/Air sealing the home,attic insulation,installing carbon monoxide detectors,installing a bathroom exhaust fan and replacing the
of Work �dryer venting. '*debit acct
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $2,969.39 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: ��� Date 03/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0603330100
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 specifed 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
Inspection Services Division �
P 0 Box I 130 �
Oshkosh,�54903-1130
Phone: (920)236-5050 �
Fax: (920)236-5084 O HKO�H
�uilding Permit Application ON THE WATER
�ou are a contractor participating in the Permit Fee Account System and have adequate funds check here
if�ou want this processed through vour account � '
JOB ADDRESS � � � �Cl.�U�4 -S� , __. �.z�A V�,+ l�
OWNER L v �S �Gl��N
LONTRACTOR A����/� 1„� MAR 1.4 2013
I am the: ❑ Owner OR ■ Contractor �EPARTM�\7'OF
COe��3JqY'L`*'DEVELOPME.'YT
iNSPE�'i IOti SERVICES Dn'iSIQ�V
USE CATEGORY
❑Sinble Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
0 Addition C Deck/Porcl�/Patio �Driveway/Parking
❑Extemal Remodeling C Fence/Hedge/Kennel ❑Garage/[Jtility Structure
❑Handicap Ramp Ci Hot Tub/Spa C Intemal Remodeling
❑Sigi�/Canopy/Awning 0 Stair/Handrail �J Stove/Fireplace
❑Swimming Pool u Wrecking Permit
�Other wea�-heri-�a�-��n
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�� a�-�-o.CheG� �/��k o''�d e'�
Any work n�st included in this application is not permitted.
' Value of the job $ y�R��}o c7 / _ (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. A�zy deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: �n n �'� �0.r'S�'`�
(Please print)
Signature:
Date:
3/02