HomeMy WebLinkAbout0156647-Building (bathroom remodel) ' � CITY OF OSHKOSH No 156647
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1870 ORCHARD LN Owner WILLIAM J HOWER/JILL D WEBECKES Create Date 07l11/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy 0 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
0 Concrete Block � Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
UselNature SFR/Removing the fibergalss showedtub unit and installing an acrylic shower base and surround. NOTE: Austin Thomas Solutions is l,
of Work orking as Rebath.
I
i
HVAC Contractor Plumbing Contractor MT.MORRIS PLUMBING
Electric Contractor
Fees: Valuation $3,962.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: 1 �/`/ Date 07/11/2013 Final/O.P. 00/00/0000
. V
❑ Permit Voided I Parcel Id# 1310380000
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 230 N KOELLER ST OSHKOSH WI 54902 -4109 Telephone Number (920)303-5797
* 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 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.
�ul. lU 1U13 9:42AM REBATH CENTRAL WI 9203035935 No. 4335 P. 1/1
� . ' P O Box 1130
CLty. O OSl��QS/� : Oshkosh,WI54903-1130
f . Plione:(920)236-5050
� . ' �'sic:(920)23G-5084.
: - . �. �. Building Pe�ariit .A.pp'licatio.n, ,""".�-�Sh�"9","'�.,� :
' Pro,�ect``.
������: I�`�o rch�r� Lv�. D.s?�,�Las� ��°10�.
Applicant Owner Coi�tractor Tenant Oth�r(describe)
Osyner/ Name . f�/���1 c�l'yl �lbU l�� Phone �l��c�°l�— .r7�-�
'Tenapt ��
Address_ I�D DY�1�. L� C�C� ��mail
Contractor � Company Naiatac� U � � ' } T Phone
.���C�3 -��G 7
Con�act L—IZ, Email !�'Te �'1 � ,(' (y; '
Address �� �, � � � V P.[ � 4 �
Stace Credential#'s iaa a`�ss � , �a� ��9 l . ,
Dwellin�Conu�actor Qualifier# Dvwclling Con�ractnr# BuildinG Cnntract�r I�c�ation�t :
Acbitect/ Company Name phone
Desi�ner
Co»tact Email :
Address
�ermit Type . Resideniial Singlc Farm;'t1y �esidential Duplex Coramercial Multifamily Industrial
Cataegory New Addition % Alteration �
�o,�t: � �,��� .s -, n�
. Dese�iipao�a�
�►���.t � a�l l l c � cw�� a� � S�,r�z�u,.
1Vlechanical Separate pennits will be obtained ior the following:
Permits _�l�b�is'�l�iX` Plumbing by' Heating by
`. :'Waliue.�o�..Job; $ �p� • � N�lue for ms�terials&labor is req.to ensure consiste crmit fees for all applicanls)
Payment by: Check # Cash Petmit Fee Account
I certify she above fnformatic,n rs complele and accurale. q,ry devia�ions fran�he above submittect infornwrion may reguire addilional prrmils
ta ta+ned I acb� wle�e•mrd a,r,ree[o'[hase ierr,is.
Name: � I�V (Please�print) D3te' .� �"�' �
Sigaatiu'e: