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Home My WebLink About0154751-Building (air sealing) � CITY OF OSHKOSH No 154751 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 667 MOUNT VERNON ST Owner JUNE L BREAGER LIFE ESTATE __ 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-2PD Class of Const: ------ Size UnfinishedlBasement 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 Use/Nature SFR/Air sealing the home and installing attic and wall insulation. A seperate permit will be obtained by the mechanical contractor for the of Work new furnace. "debit acct HVAC Contractor UNKNOWN???_ Plumbing Contractor Electric Contractor Fees: Valuation $2,834.36 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#0402670000 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 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 1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax; (92o)236-5084 O HKO H Building Permit Application ONTHE WAT�R If vou are a contractorparticipating in the Permit Fee Account System and ha�ve adequate funds, check here i�you want this vrocessed through vour account � I ��J'�� JOB ADDRESS �� /�Ci�U 7 (/ �./1,It/ri/qi 5 T AA A D 9 ,9 �n�� OWNER .I�l�J� �r�.��1 4G�2. r3Wpakrwy�.:�;r aF CONTRACTOR��OG�P ��'1 fi ��R�ITY DE4'ELOPMENT �NS�s�e�u s��e�s-sn�s�a�r I am the: ❑ Owner OR ■ Contractor USE CATEGORY J81Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: 0 Addition ❑Deck/Porch/Patio ❑Driveway/Parking ❑External Remodeling ❑Fence/Hedge/Kennel ❑Garage/CJtility Structure _ ❑Handicap Ramp ❑Hot Tub/Spa C Intemal Remodeling 0 Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace G Swunming Pool ❑Wrecking Permit j�+'Other_ w�(Z 9 2�2 i L u�/Uif/ 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: ,�e�' � u�c��P�� Anv work not included in this application is not nermitted. Value of the j ob Q a 8 3 y3� (Value for materials and labor is required to ensure consistency in accessing permit fees fot 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 obtained. I acknowledge and agree to these terms. Name: ,�1�r� l� ��r-.�t�� (Please print) Signature: ��,.. !'�Y) �a��.z�-�-- Date: 3-�� -l� 3/02