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Home My WebLink About0157374-Building (air sealing) � CITY OF OSHKOSH No 157374 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ' ON THE WATER Job Address 2469 W 9TH AVE Owner RHONDA J ROBERTS Create Date 08/22/2013 Designer Contractor ADVOCAP INC : Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence � Raze I Zoning R-1 Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection i Finished/Living Sq.Ft. Bedrooms Stories Canopies Garage Sq.Ft. Baths __ Signs Foundation � Poured Concrete � Floating Slab � Pier � Other � Concrete Block 0 Post � Treated Wood Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit ' Park Dedication _ #Dwelling Units 0 #Structures 0 Use/Nature SFR/Air sealing the house, installing insulation in the sillboxes,CO2 detectors,dryer venting and venting the bathroom exhaust fan. of Work I i � HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $1,268.25 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00 Issued By: Date 08/22/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 1312020000 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-Demofition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/pubiications/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. City of Oshkosh � � :�spection Services Division � P 0 Box 1130 � Oshkosh,�54903-1130 Phone: (920)236-5050 O � 1�/O�u Fax: (920) 236-5084 (-11� I � Building Permit Application ONTHE WATER If vou are a contractor participating in the Permit Fee Account System and have adequate funds check here i��ou want this processed ihroueh your account � JOB ADDRESS Z 7 � I � Y� �Je EIVED REC owr�ER_�o_,s�/,� ��c �JC� CONTRACTOR��{�P .Z�� a��r, 2_2_?013 I am the: ❑ Owner OR ■ Contractor nev.aRr��£xT oF C0�1AtU�ITY DEV6LOPDIE;VT 1VSPEC'TtO�SERVICES DI�'1S1QV USE CATEGORY �inble Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: 0 Addition �Deck/Porch/Patio L7 Driveway/Parking C�Extemal Remodeling 0 Fence/Hedge/Kennel ❑Garage/[Jtility Structure _ ❑Handicap Ramp ❑Hot Tub/Spa C Internal Remodeling ❑SigniCanopy/Awning C Stair/Handrail L Stove/Fireplace % Swimming Pool ❑Wrecking Permit �Other �NeQ��E'r'lZ-O.�L�?�1 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 c�-� -4-o.C,`��C� �v�l��k or� e'� S�p �! �4�8� Anv work not included in this application is not permitted. Value of the j ob � /��,�+��— �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 acknowledge and agree to these terms. Name: ____�n�� /�'� �0.r S�'7 (Please prmt) Signature: � ✓�� 12'"�' Date: � -y21 -13 3/02