HomeMy WebLinkAbout0154970 - Building (interior remodeling) CITY OF OSHKOSH No 154970
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 W 9TH AVE Owner LINDA A WOKOSIN Create Date 04/04/2013
Designer Contractor CLASSIC RENOVATIONS INC.
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building O Sign O Canopy O Fence O Raze
Zoning R-2 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 O Pier 0 Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature SFR/interior remodeling/framing for header installation/furring out walls/door opening frame in/all work will meet state and local codes/
of Work insulating and drywalling all exterior walls
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By:
Y J. Date 04/08/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0605840000
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 se - any necessary approvals before starting such activity.
I have read and r t.ii fore ntioned information.
Signature Date r,
Agent/Owner
Agent/Owner
Address 126 BERGER ST. GREEN BAY WI 54302 - 0000 Telephone Number 920-217-2797
* 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.
Payment by: Lnecx fF l 0.Jll i a.ivau i a,vvvu.i..
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be o ine/d. p I acknowled e and agree to these terms. !�
Name: / hl! i t i0/A (Please print) Date: / ` 4 '/3