HomeMy WebLinkAbout0154832 - Building (remodel bathroom) CITY OF OSHKOSH No 154832
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2212 HAMILTON ST Owner JAMES J/CAROLYN J MAFREDAS LIFE ESTATE Create Date 03/22/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building O Sign _ 0 Canopy ❑ Fence O 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 0 Floating Slab 0 Pier ❑ Other
❑ Concrete Block 0 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 5FR/Remodeling the bathroom to include tearing out the cast iron tub,installing a shower and replacing the toilet and countertop. This
of Work Mork does not include the plumbing permit. **debit acct
L
HVAC Contractor Plumbing Contractor MT.MORRIS PLUMBING
Electric Contractor
Fees: Valuation $6,300.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
�Issued By Date 03/25/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1211980000
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
Agent/Owner
Address 230 N KOELLER ST OSHKOSH WI 54902 - 4109 Telephone Number (920)303-5797
* 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.
'Mar. 21. 2013P11 : 38AM REBATH CENTRAL WI 9203035935: No. 3982:,. P. 1/4'• - •,--�)Z36-5084.
Building Permit Application m^ww PL..,
Project
Applicant. Owner Contractor Tenant
Other(describe) •
Owncr/ p
Tenant Name (� �� • 1 Phone
- AddressZ2-1 Z • . ZIA A/ t .(1
Email•Contractor Company Name »' I�� -
>t Phone
•
Contact Liz 1.Lig 1 1 Email 4
Address i1 • • i It: 'r
- sal-A--- :II ,-
State Credential##'s 12____2____Q_
, , /2_4L704/..Dwelling Contractor Qualifier#
• Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
•Designer . Phone
• Contact. .
Email •
Address • . .
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory • New Addition Alteration
Project __
Description
•
11 -• • _lA 0 14H •0. i 1 . ._d: + - -ii
' Mechanical Separatepermitc will be obtained for the following:
Permits $lecfrical by . , • Plumbing by Mt. l"1 rrI s at
Value of.Tob .$
(Value for materials$labor is req-to ensure consistency• in accessing permit fees for all applicants-)
-. . Payment by_ Check # -
• Cash': Permlt'Fee.Account •
I Bert fy the oboveu:forrncrlion is con+plere and accurate. Any � � � .
deviations from the above submitted hrjonnarion ma),require additional permits
to er obtained b I aceo.rn i e and agree to these Berms.
Name: i ' • tro i ya! '.
. . . (Please print) - Date: -
Signature:
•
•
Received Time Mar. 21. 2013 11 : 29AM No. 2584