HomeMy WebLinkAbout0155579-Building � CITY OF OSHKOSH No 155579
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1481 WELLINGTON CT Owner MICHAEL E/WANDA L KERN Create Date 05/10/2013
Designer Contractor JJ GEFFERS INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Pian
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 Class of Const: Size 220
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living 220 Sq.Ft. Bedrooms 1 Stories Canopies
Garage Sq.Ft. Baths _ 0 Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/Remodeling the basement to create a bedroom. The egress window will meet code requirements to provide the 8%light and min.
of Work gress requirements.
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HVAC Contractor NAU HEATING AND COOLING LLC Piumbing Contractor
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation $11,200.00 Plan Approval $50.00 Permit Fee Paid $39.60 Park Dedication $0.00
Issued By: � �[r'� Date 05/10/2013 Final/O.P. 00/00/0000
❑ Permit Voided'I Parcel Id# 1342740000
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 s cure any necessary approvals before starting such activity.
I have read and n erstand th fore m ' n inf ion.
Signature Date
AgenUOwner
Address 3965 WESTERN DR OSHKOSH WI 54901 - 9707 Telephone Number 231-2637
* 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.
P O Box 1130
� �lt � Os���s� Oshkosh,WI 54903-1130
y f Phone: (920)236-5050
� Fax:(920)236-5084
Building Permit Application WWW�".°S�k°S"."''.°S
Project
Address � ��.� �� �.�
Applicant Owner Contractor Tenant Other(describe) :
Owner/ Name �,'�Q ��i�t Phone 3�a - S/j�
Tenant
Address �y�"/ ���,/� ,�,.,,� �,f Email '
Contractor CompanyName �J G��(��S ��,-,f. Phone
Contact �as a.�, GN�� Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name /y�� Phone
Designer �
Contact Email
Address
Permit Type esidential Sin le Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteratio
Project �QC��rf ��t�+'�- �p��dc�
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ ..ZOd (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 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. '
Name: �its� � (Please print) Date: Q,S"-�D ^ / 3
Signature: