HomeMy WebLinkAbout0155616-Building (screen porch) � CITY OF OSHKOSH No 155616
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 610 BALDWIN AVE Owner LEANNE J GREENLAW Create Date 05/14/2013
Designer Contractor LEACH BROS.
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign 0 Canopy 0 Fence � Raze I
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block 0 Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Remodeling the existing screened porch. The walls will be removed and a new structure constructed on the existing frost walls. A
of Work new pitched roof structure will be constructed with trusses. The header calculations are required to be submitted prior to the rough
inspection. Exterior doors will remain between the existing house and this 4 seasons room. This room will not be heated.
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HVAC Contractor Plumbing Contractor :
Electric Contractor SECKAR ELECTRIC CO INC
Fees: Valuation $10,000.00 Plan Approval $50.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: �ti� Date 05/14/2013 Final/O.P. 00/00/0000
❑ Permit Voided'; Parcel Id# 1109170000
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 a�necessary approvals before starting s h activity.
I have read and nde�,�nd the afore mentioned informatio . '"'—
Signature � � Da ^ �
AgenUOwner
Address 2 83 RUSCHFIELD DR OSHKOSH WI 54904 - 7404 Telephone Number 235-2225
* 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 additiooal information on hazar�ls 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, Pertnit 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.
� �1 �,y P O Box 1130
I�it,�f OSlldOS� Oshkosh,WI 54903-1 1 30
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �•��.oshkosh.W;.us
Pro,e�t
Adaress 312 North Koeller Street Oshkosh, WI 54902 (920)424-5000
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name `.QC�N���Q�� �G( ..�LJ Phone /� ���� 2
Tenant
Address �j�0 �1�d w�� �(/('c Email
Contractor Company Name ��4 G.L-, �l��'� Phone y�a ��C s
Conta � _rC� f S L-Q'GJ C,�J Email /(�:cs- �,��� �,,./'Y, o.�
Address �2��,3 �v$C�i rE--��� �O� ,l/�
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor RegistraUon#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single F Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alferation
Project �y�,��. � 5 F�i � �_�'o o w� O U f C� a Pd�C�
Description
Mec6anical Separate pertnits will be obtained for the following:
Permits Electrical by S'�o�G r Plumbing by Heating by "'—"'-'
Value of Job $�j� U, �,� (Value for materials&labor is req.to enswe consis[ency in accessing permit fees for all applicants.)
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Payment by: Check # Cash Permit Fee Account
I certify the above injormation is complete and accurate. Any deviations from the above submined information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name: • L.�Ci (Please print) Date: �-' � � � � �
Signature:
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