HomeMy WebLinkAbout0156410-Building (weatherization) � CITY OF OSHKOSH No 156410
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 605 FRANKLIN ST Owner ANDREW C EVANS Create Date 06/24/2013
Designer Contractor ADVOCAP INC
Inspector John Zarate
Category * 140-Interior Remodeling Pian
Type � Building � Sign � Canopy _ � Fence 0 Raze I
Zoning R-2PD 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
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Pa�k Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Weatherization'To include insulating and weatherstripping. Any HVAC,plumbing or electric work will require separate permits
of Work rom lics contractors.
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,748.00 Plan Approvai $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: _ ��� Date O6/26/2013 Final/O.P. 00/00/0000
❑ Permit Voided I� Parcel Id#0703360000
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
AgenUOwner
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.
City of Oshkosh �
Inspection Services Division �
P 0 Box 1 130 �
Oshkosh,�54903-1130
Phone: (92�)236-5050 ^ !I I�^ �I �
�ax: (920)236-5084 �J � �
Eiuilding Permit Application ON THE WATER
If vou are a contractor articipatinQ.in the Permit Fee Accoz�nt System and have adequate funds check here
i vou want this processed throu�h� ur account �
JOB ADDRESS �O� Fr-a n 1�! ► �q �+� .�S h I'�oS f\
OWNER �n d r e w F ED
CONTRACTOR ���G�/� �.�r1� �
I am the: ❑ Owner UR ■ Contractor JUN 212013
DEPART�IE�T OF
USE CATEGORY C0�711UyITY DEVELOP�IENT
�dSinble Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial 1NSPECTIO�SER''ICES DI�'IS10V
Work being done:
❑Addition C'Deck/Porch/Patio ❑Driveway/Parking
❑External Remodeling C Fence/Hedge/Kennel ❑Garage/[Jtility Structure
❑Handicap Ramp C�Hot Tub/Spa C Internal Remodeling
❑Sign/Canopy.iAwning G Stair/Handrail ❑ Stove/Fireplace
❑Swimming Pool C Wrecking Permit
�Other wea�-heriz.a�-1��'�
Additional information, such as plan submittal and approval, may be required before issuanc.e. Fliers,
located in the hallway, may t:e referenced to note if any additional information is necessary.
❖ Full description of work being done: 5�e a-I-t-o.Chee� wa�k o�'��r'
Anv work nc t included in this application is not permitted.
Value of the j ob $ �i 1 y�•` 1 _ (Value for materials and]abor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: �n n �'� �0.r S�?'�
(Please print)
Signature: ��.�. m �an ��� .
Date: 6-a 0�I 3
3/02