HomeMy WebLinkAbout0155854-Building � CITY OF OSHKOSH No 155s54
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 654 W 11TH AVE _ Owner EXCEL PROPERTIES LLC Create Date 05/29/2013
Designer Contractor BONGERT CONSTRUCTION
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan .
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-2 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. � Projection j
Finished/Livin9 _ Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier 0 Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ,RES/Installing new vinyl siding on the house and garage. Installing replacement windows same size and location. Installing new
of Work !kitchen cabinets and countertops. Separating existing bathroom into 2 bathrooms. Installing a non-loadbearing partition wall to divide
ithe space. Separate electrical and plumbing permits will be obtained. All construction shall comply with State and local codes. ,
I
HVAC Contractor Plumbing Contractor UNKNOWN
Electric Contractor UNKNOWN????
Fees: Valuation $15,000.00 Pla proval _ $0.00 PermitFee Paid $130.00 Park Dedication $0.00
Issued By: b��,,;,,�, �,�„s� Date 05/29/2013 Final/O.P. 00/00/0000
❑ Permit Voided i Parcel Id# 1304060000
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 secu a y necessary approvals before starting such activity.
I have read and un the afore mentioned information.
Signature Date '��
AgenUOwner
Address 927 W STH AVE OSHKOSH WI 54902 - 5862 Telephone Number 920-203-7944
* 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 Box1130
� l..l�y Of OS���s/G Oshkosh,WI 54903-1130
� Phone: (920)236-5050
FaY:(920)236-5084
Building Permit Application �W���.oshkosh.W;.�s
Project l'�L � J ( �i� ��
Address d �
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Ck(,Q r �,Q�`oQ��-��-c� Phone
Tenant -
Address___ �3� ��-Lv Email
Contractor Company Name r- p ti� � ln �v Z�3 7/�'��
� Phone
Contact �-t�U�-J �O✓��--c_� Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esident�a ing e Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteratio
Project S';��;,�S �C w ,� `✓S' l.�E�.o►t�'TS,I
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by ? Plumbing by ? Heating by
Value of Job
$ ����0 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accw�ate. Any deviations from the above submitted information may requir•e additional permits
to be obtai»ed. I acknowled e and agree to these terms.
Name: ��� G�n�_.e,�� (Please print) Date: ��
Signature:
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