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Home My WebLink About0155462-Building � CITY OF OSHKOSH No �554s2 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1125 N EAGLE ST Owner EVERGREEN MANOR INC Create Date 05/06/2013 Designer Contractor PACKER VALLEY BUILDERS, INC Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type � Building 0 Sign � 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 Q 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 kitchen(installation of new cabinets),bathroom(installation of new cabinets,drywall and flooring,combining two of Work �rooms for the laundry area(installation of new cabinets,drywall and flooring). "'check#34685 I I � HVAC Contractor Plumbing Contractor J RASMUSSEN PLUMBING INC Electric Contractor BEEZ ELECTRIC INC Fees: Valuation $16,000.00 Plan Approval $0.00 Permit Fee Paid $136.00 Park Dedication $0.00 Issued By: (CJ J //(� Date 05l06/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 1608640000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the Ciry 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 necessa approvals before starting such activity. I have read and und nd the fo enf 'rtform�'fion. Signature Date ^� /� '�� AgenUOwner Address 2277 CLAIRVILLE ROAD OSHKOSH WI 54904 - 0000 Telephone Number 920-232-7620 * 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 Cit,of Oshkosh Oshkosh,WI 54903-I 130 � Phone:(920)236-5050 Fax:{920)236-SQ84 Building Permit Application �-t�•oshkosh.�.�s . Project J Address fI-2.� �� :c.�..�/r� •,�'7— �. Applicani Owner Contractor Tenant Other(describe) Owner/ Name .�tJ�'�'� �`t�'�n � Tenant Phone Address ;';�,�t'.,� /� Ct.l t�,� ��,�r`� �� Email � Contractor Company Name_�� r< t`r° t/c ��'�-j ��; d��,.�+�r.,�l.�phone �.�'�` `�(.�� Contact ��L,;�• �.� Email `' t�"r' 1 - ' 11 ��l �"e�� '� � „�%�� ,�/ Address -�-�'^' ,� 1 i°_�.G.,r U , ; t'_� 1S:- �a � � State Credential #'s �-C.�`�� j ,� �t�'�}� � Dwelling Contractor Qualifier# DweUing Contractor# Building Contractot Regisuation# Achitect/ �ompany Name Phone Designer Cnntact Email Address Permit Type Residentia! Single Family Residential Duplex Commercial Multifamily Industrial Catagary N�;w Addition Alteration Project ��;,�, � �' ;� � Description — �` �� `V`" Mechanica! Separate permits wili be obtained for the following: Permits Electrical by ,�'r-c=��_ Plumbing by ��.sr,�ss�--t Heating by Value of Job � �1� ,�;�� (Value for materials&labor is req,to ensure consistency in accessi�g permit fees far all applicants.j Payment by: Check # Cash Permit Fee Account !certrf,v the cabove injornrulion is complete nnd accurate. Any deviatioxs jrom!he above submitted ixformation may require additiona!permils rn be�sb�ninecf. I acknoxledge and agree!o�hese terms. Name: (Please priny Date: .�/�� +��--� Signature: �� —� '