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Home My WebLink About0155644-Building (weatherization) � CITY OF OSHKOSH No 155644 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 972 E SUNNYVIEW RD#27 Owner JEFFREY HELSER _ Create Date 05/15/2013 . Designer Contractor ADVOCAP INC Inspector Adam Krause Category * 140-Interior Remodeling Plan Type � Building � Sign _ � Canopy � Fence � Raze � Zoning 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 Occupancy Fee $0.00 Fiood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature FR/Weatherization*To include insulating and weatherstripping. Any HVAC,plumbing or electric work will require separate permits of Work rom lics contractors , I HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $5,223.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00 Issued By: _ �� Date 05/15/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcei Id# 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 necessary approvals before starting such activiry. 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 1 130 � Oshkosh,'V+�54903-1130 � Phone: (920)236-5050 Fax: (920)236-5084 O HKO H C�uilding Permit Application oN THE wAT�R . If you are_a contractor partici�atinQ in the Permit Fee Account System and have adequate {unds check here i�you want this processed throu,�h v ur account � JOB ADDRESS q�� _��n n e�J Il � �'o�� g"�'`r�l V ED OWNER �,Te�rev HQ1�� r CONTRACTOR AD�/OG{�P S� MAY 0 9 2013 I am the: ❑ Owner (lR ■ Contractor DEP:�RTn1E\T OF CO�1�iU\ITY DEVELOPDIE:YT INSPECTIOV SERViCES DI�7S10.'Y USE CATEGORY �Sinble Family ❑Duplex ❑Multi-:�amily ❑Rental ❑Commercial ❑Industrial Work being done: ❑Addition C Deck/Porch/Patio 0 Driveway/Parking ❑External Remodeling ❑Fence/Hedge/Kennel ❑Garage/Lltility Structure _ ❑Handicap Ramp ❑Hot Tub/Spa C Intemal Remodeling ❑ Sign/Canopy/Awning [� Stair/Handrail ❑Stove/Fireplace ❑ Swimming Pool i; Wrecking Permit �other wea�-he►-i-�a� ,o�� : Additional information, such as plan submittal and approval, may be required before issuanc.e. Fliers, located in the hallway, may be referenced to note if any additional information is necessary. ❖ Full description of work being done: S e e a�-�-o.C.he e� v��rY. o'rd e r' Anv work not included in this application is not uermitted. Value of the job $ 5 aa 3- C�� (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 informatior is complete and accurate. Any deviations from the above submitted information may require addit;�nal permits to be obtained. I acknowledge and agree to these terms. Name: �n i� �'� �-.0.r S�� , (Please print) Signature: �-� M ��°2'"�"' Date: ��-� - � 3 3/02