HomeMy WebLinkAbout0155770-Building (vehicle damage repairs) � CITY OF OSHKOSH No 155770
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1403 1405 W LINWOOD AVE Owner KLRR INC Create Date 05/22/2013
Designer Contractor PACKER VALLEY BUILDERS, INC
Inspector John Zarate
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 j
Finished/Living Sq.Ft. Bedrooms _ Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
0 Concrete Block � Post � Treated Wood —
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature DUP\Repau vehicle damage to left front corner of garage-reattach studs to the plate,replace sheeting and siding as needed. **check '
of Work �34698
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: /_)1 / l Date 05/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1216200000
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 bef rting such activity.
I have read and u tand the for ent' information.
Signature Date �
AgenUOwner
Address 227 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.
13-05-22 07:20 Packer Valley/Nekimi 920 232 7622 » P 1/2
� Cit�of Oshtosh P O Box 1130
� Oshkosh.WI 54903-1130
Phone:(920)236-SOSO
Fax:(920)236-5084
�u�ldiun�g Permit A,pplicat�ion www.ci.oshkosh.wLns :
Projcct
Addrcss ���(�3 /� O ,( ��.�woo� /�v
Applicant Owner Contracto Tena�tt Other(describe)
Owncr/
Tcnsnt N8m0 � �� '' �_�.`, Phone
Address �C�'r'r� �; s �� Email
Contrs�etor Company Name�g j � Ca� �p.��r��o��rs �n�,Phone�„7— �j 6'e'0
ContaCt �u�C.� '
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Address o�o? � _ �' �d '�d:// OLG/ . QS�{ /c C�S h , Gr�/
sc�t�c�a�,��� #�s 5� 9D� �g'9 �
Dwelling Controctor Quaiiticr# � Dwelling Conirector# � Building Controctor Rcgistrotion#
Aehiteet/ Company Name
Designer Phone
Conqct Email
Address '
p�rm�t'1y'pe Residential Single Family Residootial Du lex
p Commercia! Multifamily tndusvial
Cat�gory Now Addition Alteration
Project � ��
D�ccription c��;�� "�•e, � � � r_ 7� e��e-�� p�.s��-
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Mechaaicsl Separate permits will be obbined for th�following:
Pcr7nits Elccttical b
Y Plumbing by /Ui¢ HeF►ting by
Valucofdob $ � c0
(Vnlua for mt►tpiols d�Inbor is tiq.to ensure c�istp�py in acc�s,cing pcm�it fces for all appiieants.)
Payment by: Check #_� Cash Pcrmit Foc Accounc
1 cerl fv rhe abovc iqformp�io�!s eomplcte arid ocearorc. Airy deyiotlons jrom�fit above subm/n�d fZ/'ormo�lon nwy reqLlrt additiono!p�r,niRs
to bc obralncd. /ackriowledge and agree�o►h¢se rernrs,
Nstt1C: (Plcase print) Date• ��e� ��
Signature: �