HomeMy WebLinkAbout0155919-Building (weatherization) �
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/� CITY OF OSHKOSH No 155919 �
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 809 W 6TH AVE Owner SUZANNE A KREBS Create Date 05/31/2013
Designer Contractor ADVOCAP INC
Inspector Nicole Krahn
Category * 140-Mterior Remodeling _ Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-2 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
Foundatio� � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dweliing Units 0 #Structures 0
Use/Nature SFR\Weatherization according to attached work order
of Work i
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HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $1,232.46 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: �G��.� Date 05/31/2013 Final/O.P. 00/00/0000
❑ Permit Voided; Parcel Id#0605170000
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
AgenVOwner
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.
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City of Oshkosh �
i�spection Services Division � �
P 0 Box 1 130 �
Oshkosh,�54903-1130
Phone:(92�)236-5050 �HKO:IH
Fax: (920)236-5084
Building Permit Application ONTHE WATER
If vou are a contractor articipatin� in the Permit Fee Account Svstem and have adequate funds check here
ifYou want this processed throuQh vour account �
JOB ADDRESS �O`� (x) C7t h n ��
OWNER � zo.n ne Kre�75
CONTRACTOR ,�„ REC�IVED
I am the: ❑ Owner OR ■ Contractor MAY 312013
USE CATEGORY DEF.4RT'!tE�7 Uf
❑Sin�le Famil ❑Du lex ❑Multi-Famil ❑Rental ❑Commercial ❑Industr1 O�1�tUXTTYDEVELOP�(EY7'
b Y �7 y I�PECTIO�SER\'IC£S DI�'►SIOV
Work being done:
❑Addition ❑Deck/Porcl�/Patio 0 Driveway/Parking
❑Extemal Remodeling ❑Fence/Hedge/Kennel ❑Garage/LJtility Structure _
❑Handicap Ramp ❑Hot Tub/Spa C Intemal Remodeling
❑ Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace
❑Swiznming Pool ❑Wrecking Permit
�Other wea�-V��er�za�-���
Additional information, such as pl�n 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: 5�� c�� -t-o.C�-��C� v�l�rk a�c�e'�
Any work not included in this application is not permitted. `
Value of the j ob $ (o��Jo�.''��' _ (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 informatian is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I ackrzowledge and agree to these terms.
Name: �n�"t �'� �--�`�
(Please print)
Signature: �� m ��'�'�'`-�~
Date: �a� -- 13
3/D2
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