HomeMy WebLinkAbout0155189 - Building CITY OF OSHKOSH No 155189
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2120 VINLAND ST Owner RENAE D RELJIC Create Date 04/17/2013
Designer Contractor VANDENBOOGAARD CONSTRUCTION
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type • Building O Sign 0 Canopy O Fence O Raze
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living 590 Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
O Concrete Block O Post 0 Treated Wood — -
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Basement remodel/Remodeling the basement to include a bedroom and family room. The bedroom will have a minimum of 8%
of Work light. The finished ceiling height will be 71".
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation() $10,000.00 Plan Approval $50.00 Permit Fee Paid $106.20 Park Dedication $0.00
Issued By: Date 04/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided j Parcel Id# 1218200000
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 sec,re any necessary appro4 Is before starting such activity.
I have read -nd.e st-n. - :fo re moigitiod information.
Signature ` + �K� Date '� 3
Agent/Owner
Address 918 EVANS ST Oshkosh WI 54901 - 0000 Telephone Number 426-5821
* 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.
POBox 1130
Cityof Oshkosh Lkos!G L Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci•oshkosh.wi.us
Project J • _(
Address R\ Zo -" :Yr. (AAa S
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name s A-C ♦ \, t C Phone _S"-) 3—,A31-7
nant
Address , LA 0 ul, \A.,( S� Email
Contractor Company Name Vizk.r um;. 10,scR pAc, r $ Phone
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Address ( , ;U \- S 1
State Credential#'s 1 E9S , (gel 3 ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name N i\`� Phone
Designer
Contact Email
Address
Permit Type (Residential Single Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project *4.4e- e.- z.A 22 xx. l — P,.. .,.c 1 iacx;... A 20 w. 01, '- L2:. •_,
Description
F�ekA.N. / a IL`) A-rci, d2 A1A(
Mechanical Separate permits will be obtained for the following:
Permits Electrical by SECk;A+2 Plumbing by Heating by
Value of Job
$ JO)oO 6 ,0 U (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
tobl obtained. ,. clmowledge and yee to these terms.
Name: .14■2. A , 3(:) A(442d (Please print) Date: Li-- I g "' 1
Signature: )tom P ,-01