HomeMy WebLinkAbout0154753-Building (weatherization) � CITY OF OSHKOSH No 154753
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 330 HUDSON AVE _ _ _ Owner U�TIMATE PROPERTIES 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 R-2PD 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 _ _ $0_00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
UselNature SFR!Weatherization'To include insulating and weatherstripping. Any HVAC,plumbing or electric work will require separate permits
of Work from lics contractors. "debit acct
HVAC Contractor __ _ __ Plumbing Contractor
Electric Contractor
Fees: Valuation $5,806.22 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication
$0.00
Issued By: �� Date 03/18/2013 Final/O.P. 00/00/0000
� Permit Voided Parcel Id#0403560000
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 authoriry 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 will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two busioess days from the time the project is ready.
City of Oshkosh
Inspection Services Division �
� P 0 Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084 O f--�KO H
Building Permit Application ON THE WATER
If vou are a contractor participating in the Permit Fee Account System and have adeguate runds check here
ifyou want this processed through vour account �
JOB ADDRESS '�?���c��joh �vi,
IVEI�
OWNER � � �U ,t� L�
CONTR.ACTOR_���G�/� 1n� MAR 0 8 2013
I am the: ❑ Owner OR ■ Contractor �?�:^�����_�� ��
C0.�11IUtii'6'�(DE�'ELUP1i£VT
iNSPECTiON S�RVICES DiVIS�OV
USE CATEGORY
f�inble Family ❑Duplex ❑Multi-Family �Rental ❑Commercial ❑Industrial
Work being done:
❑Addition 0 Deck/Porch/Patio ❑Driveway/Parking
❑External Remodeling ❑Fence/Hedge/Kennel 0 Garage/[Ttility Structure _
❑Handicap Ramp ❑Hot Tub/Spa ❑Intemal Remodeling
❑Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace :
❑Swimming Pool ❑Wrecking Permit
�Other ,��ea�he r,z-U��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: ��a. o.�•c,���� woc� o�c�a.f ,
Anv work not included in this application is not permitted.
Value of the job $ Jr`(���.',la (Value for materials and labor is required to ensure consistency in accessing permit fees for all
appiicants.)
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 �btained. 1 acknowledge and agree to these terms.
Name: �h r� � �c�r s o✓1
(Please print)
Signature: a-...�-. YYl �'C����
Date: C� �Qr ��l3
3/02