HomeMy WebLinkAbout0155977-Building (kitchen remodel) � CITY OF OSHKOSH No 155977
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1433 MARICOPA DR Owner JEFFREY/CHRISTINE JANSEN REV TRUST Create Date 06/04/2013
Designer Contractor PACKER VALLEY BUILDERS, INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign _ � Canopy 0 Fence � Raze �
2oning R-2 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
0 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 SFR\Kitchen remodel-cabinets,counters and flooring
of Work
i
I
HVAC Contractor Plumbing Contractor J RASMUSSEN PLUMBING INC
Electric Contractor BEEZ ELECTRIC INC
Fees: Valuation $5,000.00 Plan Approvai $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: Date 06/04/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1315090000
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 a ssa approvals before starting such activity.
I have read a d unde he a mentioned information.
Signature Date /'�
AgenUOwner
Address 2277 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.
13-06-03 12:45 Packer Valley/Nekimi 920 232 7622 » P 1/1
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Achiteet/ Company Name Phone
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Address
Permit Type itesidential Sin�le Family Resid�ntial Duplex Commercisl Multifamily Industrial
Catagory New Addition �tersation
Project � LL h �� {
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Mcch�nic�l Scparate permits wi!! be obtained for the following; ,
P��'� Electricnl by Uee� Plumbing by �A�v+�� s,:ev� H�ating by
Valuc of Job
���T��� (Valuo for motcriols dC lobor i�rcq.to cnsure consis�cncy in occcsying pc�mit fcc�for nll upplic;anu.)
P�yment by: Check # Cash Permit Fee Account
/ccrrlj,v�hr ubave inforwa�lon!s comple�c and accurare. Anv dcvlotlons froni�/�e abovc subwit�ed injormarion nray reqai�e addilioae/permia
�o be ob�aincd. /ackno�vlyd�e and agrre�0 lhese Jerms.
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Name: � 111Qw�n s �S (I�Icmtic print) Data:_(p�3/ 20/� .,..
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