HomeMy WebLinkAbout0155237 - Building (remove tub) CITY OF OSHKOSH No 155237
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1814 DELAWARE ST Owner JAMES/ELAINE M WASTART Create Date 04/24/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. 0 Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths
Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR1 Bath remodel-remove tub,install shower base
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,700.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: L +''��? Date 04/24/2013 Final/O.P. 00/00/0000
El Permit Voided I Parcel Id# 1408100000
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.
Apr. 24. 2013 9:40AM REBATH CENTRAL WI 9203035935 No. 4151 P. 1/1
POBox1130
: City of Oshkosh LkOS/L/� Oshkosh,W1 54903-1130
Phone:(920)236-5050
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Pax:(920)236-5084
Building Permit Application www•ci.oshkosh.wi.ns
Project
Address I S 1 LI (
4aao oltkash ✓ ' qQ A
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name E I ct.i at, ikA, U V IA SI a, f Phone °at)` 2 3S.-- 1`tJ? S
Tenant n a
Address 1�S kg• 1 J CLLI)06 0'� 5 °Email
Contractor
Company NameA 1(01 r TO 04/00 S k. Moil()Ill' Phone qao -y `5"1 Q--7
Contact U .. Email I I Z(@reb0-611(.(ryfyop eOrb
Address aso N, Keel ley C4Yeci- ,. oy ros h Gu i 514-goa
State Credential #'s 122 0 (p S-5 , 1 2-A 0 C( i ,
. Dwelling Contractor Qualifier# Dwelling Contractor 4 Building Contractor Registration 4
Achitect/ Company Name Phone
Designer —
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
lI Catagory New Addition '' Alteration
Project
,1) Iza,rno✓e+_. .4 (i i spbytk n.f. ("o f 1 t .-tub
Description
Z 5-.1 \ 64 mod( bas
614,-, A c .1 ■Luvoiom w h ail AatO )04,011( pitt.NLionv�
' 1 r S't U no,LJ \j u n 1 , i ; 6 c\,.i I
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by 1 t-t. to 0(f i ' Heating by
Value of Job S 6100_ 00 (Value for materials&labor is rcq.to ensure eonsiste •I_ • mit 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 permiu
to bbtaained. I a •wledge and agree to these terms.
Name: ■ CLU SKD• (Please print) Date: 4' 24 2)) 3
Signature: 6, . w 1 1 .
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