HomeMy WebLinkAbout0155922-Building (bathroom remodel) � CITY OF OSHKOSH No 155922
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1528 EVANS ST Owner DAVID W ERICKSON Create Date 06/03/2013
Designer Contractor GEFFERS REMODELING
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 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 0 Floating Slab � 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/bathroom remodel to include removing tub,toilet,sink,flooring and install new flooring and repairing drywall/installing new
of Work binets/all work will meet state and local codes/plumbing and electrical permits required separate
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $0.00 Pertnit Fee Paid $58.00 Park Dedication $0.00
Issued By: .��, Date O6/03/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id# 1511700000
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 afor entioned information.
Signature ` �_ Date � 3 /
AgenUOwner
Address 2640 WESTMOOR RD OSHKOSH WI 54904 - 0000 Telephone Number 235-1422
* 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
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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 specifed 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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Clty Of OSI�kOS�F
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Inspectiat Seivices Division
P O Box 1130 �
Oshkosh,Wi 54�3-1 I30'
Phone:(920)236-5050 {_�/ 1 �C�
Fax:(920)236-5084
8uilding Permit Appiication ON THE WATER
.Li�,'yau are a contraotor aarticiDating ia tlte Perasit Fes Ac�o�tnt S'�+ tem and have adeor�ate fiEnds check here
�,vo�c want ihis aroceased through vour account (�1
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'�Single Family �Dupiex �Muiti Family l7itenfal OCommerciat �jndust�ial
Work being doae_
❑�ddition ❑DecklPorch/Patio ❑DrlvewayiPark�ag
�Fxbernat Remod�elmg ❑F�e/f�e�e/Ke�l ❑GarageNtilitS►S�n�e
O Handicap RamP ❑Hot Tub/Spa �Intemal RemodeI�g
0 3iga/CanopylAwning ❑StairiHa�a1 O S'tova/FnBplaoe
p�ning Pool 0�Vrec�mg Pe�mit .
�90ti�er ��-a� !'�4A�n
Additional�OUformation,such�s pian snbmittxl and appmvai,msY be re4nired before isaaxnce. Fiiexa,
Iocated in the hsit�ay.,may be�efferenced#Q�tt�if a�ad�ii#i+flu�i� . ' i����
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.Any work not iaeluded in this aouiicatioa is nat oer�aaitt�i.
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I certify the above ir�"nrra.ation is coniplete arid accurate. Ariy deviatiarrs frotn tire above submift�ed
i��or-mation�nay require addilYunai permits to be obtai�red I acknawlsdge cmd agree to these ternis.
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