HomeMy WebLinkAbout0155274 - Building (bath remodel) CITY OF OSHKOSH No 155274
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 808 CEAPE AVE Owner HENDO PROPERTIES LLC Create Date 04/26/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning 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 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 SFR\Bath remodel-replace fibergalss tub and install 3 pc.surround
of Work
HVAC Contractor Plumbing Contractor UNKNOWN
Electric Contractor
Fees: Valuation $2,920.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: Date 04/26/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0801990000
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.
Mechanical Separate permits will be obtained for the following; •
Permits Electrical by Plumbing by jW r►"I 5 Heating by
Vs five nf_inh — JA 13T
Apr. 26. 2013 10:48AM REBATH CENTRAL WI 9203035935 No, 4161 P. 1/1
CiCity P 0 Box 1130
y Oshkosh G GkOSh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www•ci.oshkosh,wl.us
• Project 1 6 ' e
Address ,ib ' •
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Applicant Owner Contractor Tenant Other(describe)
Owner/ Name 6 tAfa t11. • a rI C. ••S� Phone 92b—c279— a2,,(�p"5
Tenant ,�r'�,
Address II • % I_._,_,t ¶\—t 4_ `5Limail -
•Contractor
Company NameAVQ-1-tl'∎ Th1w(Ic k.\ btuli(7v)i' Phone -5ig7
Contact L 4 L. Email @re/CI _ !1 I-k 0 m
Address I ?0 11, Kt- e S i ec 4 , o 1 I r _ •
State Credential#'s t 2'0(O J 5 , I l 7 ,
YDwelling Contractor Qualifier IS Dwelling Contractor 4 Building Contractor Registration 4
Achitect/ Company Name Phone
Designer
Contact _ Email •
Address
Permit Type Residential Single Fan>.ily Residential Duplex Commercial Multifamily Industrial
Catagory New Addition C Alteration (�
Project Lit LL) .t 1 -,G BBC. a ' a 0 'lass j
Description /tat)�'
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by M f Ul l'/ S Heating by
Value of Job $ • (Value for materials&labor is req.to ensure consist-I.. '• ',_ . mit fees for all applicants,)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accurate.. Any deviationsfrom the above submitted information may require additional permits
to.beobt•'•,d 3 acknow1edg and agree 10 there trnu. .
Name: _t `b� CS k C (Please print) Date: 124,115 .
Signature: Ili . .. a ,✓ '
L ter .
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