HomeMy WebLinkAbout0154748-Building (air sealing) � CITY OF OSHKOSH No 154748
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1515 WILSON AVE_ _ ___ Owner BRIAN K HYLER __ 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
Finished/Living Sq.Ft. Bedrooms _ Stories _ _ Canopies
Garage Sq.Ft. Baths _ _ _ Signs
Foundation � Poured Concrete � 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, replacing 3 bedroom windows,installing carbon monoxide detectors,an in-line exhaust fan for
of Work the 2nd floor bathroom and replacing the dryer venting. Seperate permits will be obtained by the mechanical contractors for the new
fumace,water heater and removal of the knob and tube winng. "debit acct '
' I
,
HVAC Contractor J&M HEATING LLC _ _ Plumbing Contractor BENDING PLUMBING LLC '
Electric Contractor ACTION ELECTRIC
Fees: Valuation $3,203.82 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: �� Date 03/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1212470000
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 piease 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 . Of HKQ1H
Fax: (920)236-5084
Building Permit Application ONTHE WATER
�ou are a contractor partici�atingin the Permit Fee Account Svstem and have adequate funds check here
if�ou want this processed throuQh your account �
- �
JOB ADDRESS ��J � �
, ,�,
OWNER�_��a s.
(;ONTRACTOR ���G� Zn MAR 14 2013
I am the: ❑ Owner OR ■ Contractor �,,���au���:�1TOF
�,_ ._ _.a�F,Ei.OPMENT
INSr�.�-±'�ti.v S6Ri'➢�CES Di�'IS1Q�1
�SE 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/LTtility Structure _
❑Handicap Ramp ❑Hot Tub/Spa ❑Internal Remodeling
❑ Sign/Canopy/Awning 0 Stair/Handrail ❑ Stove/Fireplace 4
C Swimming Pool ❑Wrecking Permit
�Other wea�-heriz.a�-���
Additional information, such as pl�n submittal and approval, may be required before issuanc.e. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
'� Full description of work being done: 5 z 2 a�-�-o.Chee� �n/�rk o'r'c�e'�
�
Anv work n��t included in this application is not permitted.
Value of the j ob $ 3�?e�3� �Z' _ _(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: �n n � 0.r S�rl
(Please pnnt)
Signature: 1�.�-. � �
Date: 3—I a -l3
3/02
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