HomeMy WebLinkAbout0155247 - Building (replace fireplace) CITY OF OSHKOSH No 155247
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 215 N WESTFIELD ST Owner GABRIELS VILLA INC Create Date 04/24/2013
Designer Contractor NEW BEGINNINGS BU ILDERS LLC
Inspector Nicole Krahn
Category 144-Fireplaces/Stoves 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 COMM\Replace fireplace and surround,rock and cabinets
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: i Date 04/25/2013 Final/O.P. 00/00/0000
11 Permit Voided Parcel Id#0611490000
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 ea - : t,the City strongly urges the permit applicant to contact the easement
holder(s)and to secu e any necessary appro Is bef. e starting such activity.
I have read and un rstan the r mention-:.'.1. n- '.. -_..._ (/
Signature Date ! jV—/'
Agent/Owner
Address 965 HOLLAND ROAD KAUKAUNA WI 54130 - 0000 Telephone Number 920-989-2026
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.
OltCity of �y P O Box 1130
HIIJ Ol Oshkosh Oshkosh,WI 54903-1130
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PhFax:(920)236-5050
Fax:(920)236-5084
(, , ,� Cie.(f Building Permit Application .G-oshkosh.wi.as
Project ,(;)/J i / zii c a k 1 c 6 ,./2,
Address
Applicant Owner Contractor Tenant Other(describe) i A-1. .1 ,'S /'t i,
Owner/ Name Kt 1197._ �7 2/ ,44 et -kr t 4-X Phone oR 3 6 — 0 7 6 C)
Tenant
_S`" /' - 4 es // CJ/ " S f- k ; , kJ .J t► l
.r ` Email •� 7/z ��" c. _.".�,.��s�_C.
Address
Contractor Company Name 'l Be ihhtby s N u' id.►s L-i- C Phone 9020 —&l -- Sz'1 7
Contact • Email Ne°la b e r rl c € c.:. it Oi*o Ce'A
Address 9 S(? go I fc._r..,) 1c , Ka k k et k nab 4..), S t//tea U
State Credential#'s I v g2 17 0 3 7 7 6 7 , 3 7 ? 4, 7
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex ercial Multifamily Industrial
Catagory New Addition (Alteration ��
Project 'PC la cc reP �kc r' a_ S et r mot'�i- C.„e
Description � � j ® � . J��S
Y 40 4 c c Jr0L�E 4 va v't .G O 1'
4() f—t .0 Jc% 4 1, r r h - -k
Mechanical Separate permits will be obtained for the following:
Permits Electrical by e ci.v 'la .i. Plumbing by --- Heating by a .yr
J7id
Value of Job $ 0.._' -D-1,13---:--��' (Va ue for materials&Iabotlis req.to ensure consistency in accessing permit fees for all applicants_)
1.
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
to be obtained. I acknowledge and agree to these terms. ,1
Name: L b`l S`/C. .4"p (Please print) Date: 41 _c21/— /3 61
Signature: 41J`" 41:-----