HomeMy WebLinkAbout2013-Building (air sealing) � CITY OF OSHKOSH No 154749
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 1520 ROOSEVELTAVE _ _ Owner GERALD J HOHENWALTER Create Date 03/14/2013
Designer Contractor ADVOCAP INC
Inspector John Zarate
Category * 140-Interior Remodeling _ ___ Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-1 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 � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood — _._. _
Occupancy Permit Not Required Occupancy Fee _ $0.00 Flood Pfain Height Permit
Park Dedication _ __ #Dwelling Units 0 #Structures 0
Use/Nature SFR/Air sealing the home,insulating the attic access and boxsills, installing carbon monoxide detectors,an in-line exhaust fan for the
of Work 2nd floor bathroom and replacing the dryer venting. *'debit acct
I
HVAC Contractor _ _ _ Plumbing Contractor
Electric Contractor
Fees: Valuation _ $2,793.45 Plan Approval __ $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: ��1` Date 03/18/2013 FinallO.P. 00/00/0000
�� +-�
❑ Permit Voided Parcel Id# 1212500000
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 cail 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,VUI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084 O HKO H
Building Permit Application ON 7HE WATER
�ou are a contractor participatin,� in the Permit Fee Account Svstem and have adequate funds, check here
i�you want this_processed through vour account �
i
JOB ADDRESS�_�jtia �, , ,,`��� �''�'"�'���FiZ
OWNER 10�,�a\� p���I�s.0 A ,
CONTRACTOR_��/OG�P Znc.
DEPARTME!�?OF
I am the: ❑ Owner OR ■ Contractor COMt�tJtiTPY f�EVELOPMENT
INSPECTiOti SERVICES DR7SIQ�Y
,USE CATEGORY
��Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
❑Addition 0 Deck/Porch/Patio �Driveway/Parking
❑Extemal Remodeling ❑Fence/Hedge/Kennel ❑Garage/CTtility Structure
�Handicap Ramp ❑Hot Tub/Spa ❑Intemal Remodeling
❑ Sign/Canopy/Awning ❑Stair/Handrail �Stove/Fireplace
❑Swimming Pool 0 Wrecking Permit
�Other ;,�e o,�-h e,�i zafio r
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����� � .� y�dl�C ��dir
Any work not included in this application is not permitted. :
Value of the job $ �793. y$ (Vafue 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: �n✓� �� �G r_s a��
(Please print)
Signature: �i�.�, �'Y� ��:'�—_
Date: 3—l� — l3 �
3/02