HomeMy WebLinkAbout0156733-Building (weatherization) €
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� CITY OF OSHKOSH No 156733
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 930 CEAPE AVE _ Owner CORY A SCHUBERT Create Date 07/16/2013
Designer Contractor ADVOCAP INC
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze �,
Zoning 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 �
� 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 according to attached work details.All mechanical work shall be under separate permits.
of Work '
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,711.85 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: ���'�� Date 07/16/2013 Finai/O.P. 00/00/0000
❑ Permit Voided'� Parcel Id#0802340000
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. :
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Ci of Oshkosh � �
ty �
Inspection Services Division
P 0 Box 1130 �
Oshkosh,VJI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084 O HK� H
Building Permit Application ON THE WA7�R
If vou are a contractor partic�ating in the Permit Fee Account System and have adequate funds, check here
ifYou want this processed through vour account �
JOB ADDRESS 9�3C7 ea pe Ct✓� �.Sh��� �l
OWNER ( Or'V �C�7ub e�-T _
CONTRACTOR A��/�{�/� 1�� � RECEIVED
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I am the: � Owner OR ■ Contractor � JUL 16 2013
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USE CATEGORY DEPART:1fE1T OF
❑Sin�le Famil ❑Du lex ❑Multi-Famil ❑Rental ❑Commercial ❑Industri C���ZUtiITYDEVELOP\tEVT
b y P Y �SPEC7'10V SERViCES DI�7SIOV
Work being done:
❑Addition 0 Deck/Porch/Patio ❑Driveway/Parking
❑Extemal Remodeling ❑Fence/Hedge/Kennel ❑Garage/Utility Structure
❑Handicap Ramp ❑Hot Tub/Spa C Intemal Remodeling
❑ SigniCanopy/Awning ❑Stair/Handrail ❑Stove/Fireplace
L:Swimming Pool ❑Wrecking Permit
�Other wea�-heri�a�-�on
Additional information, such as plan 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: 52 e a-I-�-aC.hed wa rk o�c�e r-
Any work not included in this application is not permitted.
Value of the job $ 6�I�• �J� (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 information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowle�ge and agree to these terms.
Name: �n n � �.0.r'S��
(Please print)
Signature: _�, /'Y7 G��,� ��
Date: 7-/�-/3
3/02