HomeMy WebLinkAbout0156740-Building �
� � CITY OF OSHKOSH No �ss�ao �
� s
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 614 AMHERST AVE Owner ARMADA CAPITAL MANAGEMENT LLC Create Date 07/17/2013
Designer Contractor KEEN CAPITAL MANAGEMENT
Inspector Tom Spierowski
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze j
Zoning R-2PD Class of Const: Size
Unflnished/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 #Dweliing Units 0 #Structures 0
Use/Nature uniU Kitchen Remodel to include: removing bad plaster from the walls and drywalling over the lath, new kitchen cabinets and
of Work countertop. No structural alterations. All construction shall comply with State and local codes.
�
HVAC Contractor Plumbing Contractor INTEGRITY PLUMBING SERVICES
Electric Contractor UNKNOWN????
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: Date 07/17/2013 Final/O.P. 00/00/0000
� Permit Voided� Parcei Id#0702610000
In the perFormance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and underst he afore mentioned information. 1
Signature ����11�t�t,�,�d✓$� Date �l��t ��
AgenUOwner
Address 815 KELHER PARK DR APPLETON WI 54914 - 0000 Telephone Number (920)309-2144
* 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. `
P O Box 1130
� �l�y �f OS���Sl� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �W���.oshkosh.W,.us
Project (' 1� ��S / f�
Address �Q �r' ����4��D S � (�
Applicant Owne Contractor Tenant Other(describe)
Owner/ Name F-`�tLvY�.►'�-()1'�. ��A.-(���-+� W1GU.�A Phone
Tenant � G
Address �1 y 1'��"�S� Email
Contractor Company Name v� � l�-� � '�M^^�l.Q/' Phone �a� �31�9� Z1 � ��
Contact Email
Address g� � TtiC �)�P PZ �u-��it- �. ��� �� ��j 1�
State Credential#'s a S��q g , C�b o��0��' ,
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 lteration
Project � �.^�v /�--��-�.�,,wJv, �'`F�JL �S
Description n
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by N65� Plumbing by ��-Et-�..r-.� Heating by
Value of Job �Q D b
$ � (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 rnformation is conaplete and accm�ate. Any deviations from the above subnaitted information moy require additional permits
to be obtained. I c%nowledge and agree to these terms.
Name: ,J���ti ��L� �/L�7 (Please print) Date: � � � � ��
Signature: Q