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Home My WebLink About0154747-Building (air sealing) � CITY OF OSHKOSH No 154747 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1560 S OAKWOOD RD _ Owner GERALD/HELEN DEBAUCHE Create Date 03/14/2013 Designer Contractor ADVOCAP INC Inspector Nicole Krahn Category * 140-Interior Remodeling _ _ Plan Type � Building � Sign � Canopy � Fence 0 Raze ; Zoning R-3 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 UselNature ,SFR/Air sealing the home,insulate the attic access,installation of carbon monoxide detectors and exhaust fan. Bending Plumbing will of Work ,be installing the water heater under a seperate permit. "debit acct i i ��, � ' _ - -- -- - -- —� HVAC Contractor _ Plumbing Contractor BENDING PLUMBING LLC Electric Contractor Fees: Valuation $1,446.07 Plan Approval $0.00 Permit Fee Paid ___ ___ _ $44.00 Park Dedication _$0.00 Issued By: �� Date 03/18/2013 Final/O.P. 00/00/0000 � Permit Voided Parcel Id# 1320513407 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. U�less 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. I13`�`�� Ci of Oshkosh � � � Inspection Services Division P 0 Box 1130 � Oshkosh,WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 01HK0� Buiiding Permit Application ON THE WATER �you are a contractor participating in the Permit Fee Account Svstem and have adeguate funds check here if vou want this processed through vour account � JOBADDRESS � 5(,(� , �k � �� r �A)OZ9 '��• ��jY�7 �11 -�:�_ ....:...��— OWNER C,Te►"a'(��.auChe. ! � MAR i 4 2013 CONTRACTOR �10�/OC�,qP ��c� I am the: ❑ Owner OR ■ Contractor �'`r.'RT�i��T°F Cn��-;�°<TV�+g�'�LOP�tE*1T TN��EC"i'lUti SERYICES DIFISiQ'V USE CATEGORY �Single Farnily ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: �Addition 0 Deck/Porch/Patio ❑Driveway/Parking ❑External Remodeling ❑Fence/Hedge/Kennel ❑Garage/LJtility Structure �Handicap Ramp ❑Hot Tub/Spa C Intemal Remodeling ❑ Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace ❑Swirnming Pool ❑Wrecking Permit �Other �N 2c��'�'12r^t zQlt 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 ofwork being done: Se� tvo�k orc�e� Any work not included in this application is not nermitted. Value of the j ob $ 1'�`�6<�7 (Value for materials and labor is required to ensure consistency in accessing permit fees for all applicants.) PLEASE READ, SIGN, & DATE: I cert�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: �11�1 I"� �„O�r5U71 (Please print)� Signature: �.ti,.. r'�'"1 �cz �,�r�-� Date: .3-l3-l3 3/02