HomeMy WebLinkAbout0156200-Building (porch repairs) � CITY OF OSHKOSH No 156200
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1111 ELMWOOD AVE Owner KENNETH UADRIANA O SCHAUFELBERGER Create Date 06/14/2013
Designer Contractor LAIB RESTORATION INC
Inspector Nicole Krahn
Category 042-Residential Siding Plan
Type � Building 0 Sign 0 Canopy _ � Fence � Raze I
Zoning R-1C 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 0 Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dweiling Units 0 #Structures 0
Use/Nature DUPLEX/Replacing the trim on the front porch and decking. Replacing the siding on the south and north side of the house.
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: `�, �`%`l.N�-- Date O6/14/2013 Final/O.P. 00/00/0000
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❑ Permit Voided I Parcel Id#0506610000
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 appr Is befo e starting such activiry.
I have read and understand the m oned i rmation.
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Signature Date'
AgenbOwner
Address 410 E MURDOCK AVE OSHKOSH WI 54901 - 3757 Telephone Number 233-7026
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 Box 1130
� �'lt � OS��OS� Oshkosh,WI 54903-1130
y f Phone:(920)236-5050
� Fax: (920)236-5084
Building Permit Application WWW�".°S"k°S".W'.°S
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name G v �(' 1/ Phone
Tenant
Address s v (( � S �,.-v 0 � � ~ Email `'�►� S Il C� �� c� I��s.I,CdK
Contractor Company Name '`-�/6 j� S �Cc� ��Y� Phone � 3�" 7 J a �D
Contact��( 1�f �G h Email
Address / � U /��� �v � ��=`�
State Credential#'s �� g � , � L� � � ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � ` �' he � �!� (�.e�v �Y� «� Y
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ (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 informatior�is com ete and accurate. Any deviations from the above submitted information may require additional permits
to be o ained. I ac owle e and ree to these terms.
Name: _�-, (Please print) Date: �`- � �� l�
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Signature: �C'�(�'� J ��``
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