The URL can be used to link to this page

Home My WebLink About0157411-Building '�� CITY OF OSHKOSH No 157411 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 49 LAKE ST Owner MINDY M KUEN Create Date 08/23/2013 Designer Contractor OWNER Inspector John Zarate ' Category * 140-Interior Remodeling Plan . Type � Building � Sign � Canopy 0 Fence � Raze I Zoning R-2 Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. � Projection I Finished/Living 228 Sq.Ft. Bedrooms Stories Canopies Garage Sq.Ft. Baths Signs Foundation � Poured Concrete � Floating Slab � Pier � Other 0 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\Altering dining room and converting 2nd kitchen to a bedroom. Replacement windows(Paul Schneider). of Work �II work to meet currnet code requirements I � � HVAC Contractor Plumbing Contractor Electric Contractor HOMEOWNER Fees: Valuation $3,000.00 Plan Approval $50.00 Permit Fee Paid $41.04 Park Dedication $0.00 Issued By: q�� Date 08/23/2013 Final/O.P. 00/00/0000 � ❑ Permit Voided I Parcel Id#0803580000 Cautionarv Statement to Owners Obtaininp Buildinq Permits 101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a building permit with a statement advising the owner that: If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under s. 101.654(2)(a),the following consequences might occur: (a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of the worlc performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the work perFormed under the building permit. (b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a), because of any bodily injury to or death of others or damage to the property of others that arise out of the work perFormed under the building permit or because of any bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. *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 In the perFormance of this work I agree to pertorm 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 aforementioned information. Signature ��f� � � /\ � Date AgenUOwner � � Address 49 LAKE ST OSHKOSH WI 54901 - 5440 Telephone Number V 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 ll 30 City of OSlG��S� Oshkosh,WI 54903-1130 � Phone: (920)236-5050 Fax: (920)236-5084 Building Permit Application �W��.oshkosh.wi.us rro�ecc Address Applicant Owner Contractor Tenant Other(describe) Owner/ Name1M �n p U {�.��✓l Phone �ZO. ��^] - gQ Tenant Address �'I �--�t� sr 6S�'1 . ��Q � Email_jU�{h/��(q EN�G►/Vif}�L,COl'YJ Contractor Company Name Phone Contact Email Address State Credential#'s , Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Emai 1 Address Permit Type esi en ia ing e ami y Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration rro�e�c si,�iTC h D m F/�6rY► {� P � Sl Y� �z L ^'� m �� Description r°"v�(Z-T �.t,�� t�h�e n 1D ��t r ocm� Ir�sT'��1 G I2-t. �l�c� �,�� W� ntJU� s � ,�sTalrzS Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $3��.— alue for materials&labor is re to ensure consistenc�in accessin N q. } g permit fees for all applicants.) Payment by: Check # Zy q� Cash Permit Fee Account I certify the above infornaation is complete and accurate. Arry deviations from the above subnaitted information may requi�•e additional per•mits to be obtadned. I acknowledge and agree to these terms Name: �1 yl�l� K��h (Please print) Date: U`��' �� Signature:��i�`