HomeMy WebLinkAbout0156407-Building (weatherization) � CITY OF OSHKOSH No 156407
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1407 JACKSON ST Owner LYNDA KRILL Create Date 06/14/2013
Designer Contractor ADVOCAP INC
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign 0 Canopy � Fence 0 Raze �
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
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/Weatherization to include insulation and sealing.
of Work
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $7,699.73 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: Date 06/26/2013 Finai/O.P. 00/00/0000
❑ Permit Voided'I Parcel Id# 1208600000
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
Agent/Owner
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 � ��
i�spection Services Division �
P 0 Box I 130 �
Oshkosh,�54903-1130
Phone: (92�)236-5050 O ��O u
Fax: (920) 236-5084 � I
Building Permit Application ON THE WATER
I(�ou are a contractor participatinQ in the Permit Fee Account System and have adequate �'unds check here
if vou want this processed throueh your account `
JOB ADDRESS I y U� ��aC�ICs�n �`�.
OWNER L\/l7�'� l`1T1I I
CONTRACTOR����J�P .�r1L �F�F•IVED
I am the: ❑ Owner OR ■ Contractor ,IUN 13 20i3
USE CATEGORY DEPARTIIE\T OF
C�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial C0�1�iU\[TY DE�'ELOP�tEVT
INSPECTIOV SF.R�'ICES DI�'ISIOV
Work being done:
G Addition �Deck/Porch/Patio L7 Driveway/Parking
❑Extemal Remodeling ❑Fence/Hedge/Kennel ❑Garage/Utility Structure _
❑Handicap Ramp ❑Hot Tub/Spa C Internal Remodeling
❑ Sign/Canopy/Awning G Stair/Handrail �Stove/Fireplace
G Swimming Pool ❑Wrecking Permit
�'Other �1/eG��'�E'r�tZ-C1�lv�`l
Additional information, such as pl:�n submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
❖ Full description of work being done: ��L G�t �C�CI"l�c� w���k or�e'�
Any work not included in this application is not permitted.
Value of the j ob $ 70 9�•7 3 _ (Value for materials and labor is required to ensure consistency in accessing permit fees for all —
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above informatian is complete and accurate. Any deviations from the above submitted
infoYmation may require additional permits to be obtained. I ackno�-ledge and agree to ihese terms.
Name: �n n �'� ���=?'�
(Please print)
Signature: �ti- m ���`'�"'`� .
Date:
3/02