HomeMy WebLinkAbout0155642-Building (weatherization) � CITY OF OSHKOSH No 155642
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 402 E NEW YORK AVE Owner MATTHEW S/ANGELA P BECKER Create Date 05/15/2013
Designer Contractor ADVOCAP INC
Inspector Adam Krause
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence 0 Raze �
Zoning R-2 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 0 Pier � Other
� Concrete Block � Post � Treated Wood -
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit :
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Weatherization'To include insulating and weatherstripping. Any HVAC,plumbing or electric work will require separate permits
of Work rom lics contractors.
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,909.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: Q�� Date 05/15/2013 Final/O.P. 00/00/0000
-r ❑ Permit Voided I Parcel Id# 1507080000
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 PO BOX 1108 FOND DU LAC WI 54936 - 0000 Telephone Number (920)426-0150
* 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.
City of Oshkosh
� �
Inspection Services Division �
P 0 Box 1130 �
Oshkosh,VVI 54903-1130
Phone: (920)236-5050 '
Fax: (920)236-5084 O HK� H
Building Permit Application oNTHE wAT�R
If vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through vour account �
JOB ADDRESS M Q�--�'je�,�j �{�Ckp r� 12�i'a(''T, T�7��
OWNER �'IO2 E Nec.� zor� /4V�
CONTRACTOR��/�{�f� Zr�� MAY 0 9 2013
DEPART;11E1'f OF
I am the: ❑ Owner OR ■ Contractor coa��iu�rrv ne�'ELOP!1fEVT
iNSPEC'f10�SER�'ICES Di�'iS10V
USE CATEGORY
�Sinbie Farnily ❑Dupiex ❑Ivlulti-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
�Addition ❑Deck/Porch/Patio ❑Driveway/Parking
0 Extemal Remodeling ❑Fence/Hedge/Kennel ❑Garage/Utility Structure
❑Handicap Ramp ❑Hot Tub/Spa C Internal Remodeling
❑ Sign/Canopy/Awning ❑Stair/Handrail �Stove/Fireplace
❑Swimming Pool ❑Wrecking Permit
I�Other V�/��i�t�`1 e r�zLt�j� r�
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
❖ Full description of work being done: �ee cc��c�L�e d c.��o�� orC12�
Anv work not included in this apvlication is not nermitted. ;
Value of the j ob$ �q C��•�5 (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I 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: ��n � �.CZrSdn
—f—j1 (please print)
I
Signature: Q,,,�,,, i'Y) a���
Date: _5"-7- �3
3/02