HomeMy WebLinkAbout0155458-Building (bathroom remodel) ,
� CITY OF OSHKOSH No 155458
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1929 KNAPP ST Owner RAMELLE REEVE Create Date 05/06/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
Zoning C-1 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 � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature iSFR/Removing the fiberglass shower base and surround. Relocating the plumbing and installing a new tub. This permit doesn't include
of Work any mechanical work only the building alterations.
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,797.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00 :
Issued By: �,f�►�.. Date 05/06/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1307110800
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
AgenUOwner
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 0�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.
M�y, 6 2013 9; 06AM.. REBATH CENTRAL WI 9203035935 No. 4197 P. 1/1
� GG P 0�ox'1130
City of O.sl LfG�s� Oshkosh,WI 54903-1130
� Phone:(920)236-SO50
Fax:(920)236-5084
� Bu�lding Permit Application "�''��-°S�°Sh,�',�s
Project C�a. O S� �� � V U 1 :J"7 I��
Address _I p' � �
Applicant Owner Cnnlractor Tcnant Other(describe)
Owner/ Name � �. � Phoneg2Q- Z 3 �^ ���
Tenant -
Address � G � J �I"1� Email
Contractpr Company Name �( � � `, � � � Phone_�1�(� ����j �r�a�
Contact Email � IZiI�'►��(lf�'l�lf'T�Y� (�0/l1 '
� Address � �, � �y � � Q � � :
State Credential#'s �� D ��� , �Q� ( � . ;
Dwellu�g Coni.rador Qualifier# Awelling Couvactnr# Building C.��otracta�Re�istration#
AcLitect/ Company Natb,e Phone
Dcsigner
Coniact � ���
Address
Permit Typc Residential Single Family Residential Duplex Commercial Multifamily industrial
Catagory New Addition � Alleration •
Project ^
De.acription
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Mechanical Separate permits wilt be obtained for the follo'wing:
Perm[ts Elccttical by Plumbing by � � Heazing by
Va�ue of J�ob $ 3"�q�, 0 � N�ue for matcrials�@ labor is req_to r.nsuro consiste rmit fees fur all spplieant�.) `
. Payment by: � Check # Cash Permil Fee Account
I ccr1�[!�e uhove informutinn rs complelc a�d accyra[e. Any deviarions from 1he ahove sy�bmtlltd lnforma[ion moy require addjpo�fu/pernii�s
10 bc ob i�ed t acbwwlc e m�d agree to lhese.terms.
Nanie: S KO � (rlease p�nt) . Date: � � I�
Signatur -