HomeMy WebLinkAbout0157474-Building � CITY OF OSHKOSH No 157474
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 857 WISCONSIN ST Owner MUB INVESTMENTS LLC Create Date 08/20/2013
Designer Contractor BONGERT CONSTRUCTION
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign 0 Canopy � Fence � Raze '
J :
Zoning R-5 Class of Const:
Size
Un�nished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete 0 Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood —
Occupancy Permit Occupancy Fee $0.00 Flood Piain Height Permit :
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Bathroom remodel'to include opening walis and floor. Repairs will be made to existing overcut floor joists.
of Work
I I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation _ $3,000.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: ��'� Date 08/29/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0502290000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the Ciry of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address 927 W 8TH AVE OSHKOSH WI 54902 - 5862 Telephone Number 920-203-7944
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
{,L P O Box 1130
� �tJ�f O$II�QS� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application R'R'w.ci.oshkosh.wi.us
Project Q 1 I '
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Applicant Owner Conuacto Tenant Other(describe)
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State Credenrial#'s '
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Dwelling Conuactor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residenria mg e Famil Residenrial Duplex Commercial Multifamily Industrial
Catagory New Addition AI ration
Project (�e M f�','tJ S �✓' 4 1��od w�,
Description
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Mechanical Separate permits will be obtained for the ollowing:
Permits 7 �,r v��k'j r,,,� r��v^'� �
Electrical by � ��l�unbing by J`" J 1l�/ Heating by
Value of Job � -���
(Value for materials 8t labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Z.�9 Cash Permit Fee Account
I cerlify the abaHe infornration is complete and accurote. Arry deviations from the above submitted i»fornration moy require additiorwl permits
to be obt ' d 1 aclwro e and agree to�ese ternu.
Name: �� -�L (Please print) Date: '�'�^
Signature: