HomeMy WebLinkAbout0156907-Building (scrylic shower base) � CITY OF OSHKOSH No 156907
� :
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 13 W BENT AVE Owner JULIE K HENDERSON Create Date 07/26/2013
Designer Contractor REBATH OF CENTRAL WISCONSW
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 'I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garege Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood -
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature ISFR/tear out and dispose of cast iron tub-install 60X30 acrylic shower base
of Work �
"debit acct" �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,136.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: ��`. Date 07/26/2013 Final/O.P. 00/00/0000
❑ Permit Voided'� Parcel Id# 1502960000
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 230 N KOELLER ST OSHKOSH WI 54902 -4109 Telephone Number (920)303-5797
* 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.
Ju1, 25, 2013 4; 45PM REBATH CENTRAL WI 9203035935 � No. 4401 P, 1/1
� ,'. ', � ' , " ' 'P O Box 1130
� � ��� �f OS/LfGOS� - Oshkosh,WI.54903-1130 .
� : J : � . Phone:(920)236-SOSO
° � . �ax: 920
( )236-5084 ,
- . -. � , . Bui�dYng Per�at ,A,pp�cation. � ..�:��.o9bk�n,w�:�. .
�o;�t� � �A .�s�- �P,r� �� . �Sh l��h ���o�
�Aa�iess_ � 'v
Appiicant Owner Contractor � Tenant .Other(describe) �
. Owner�/� Name . 1 . � � � � � 'Jr' " �Q 1
.Tenaat.` � ����� Phone
� Address. �.,'J � ;�jQX l� �`t.. �����t� Email l
Contracto�r � � - . _`1� ���i `.`r��q�
. Compaoy Naine Trj �.... � )� �' Pho�ie_
Contact_�L, Email l�l'e � � m
Address_ VI�Q �,�1 lev V P-�'� ,�� �S�'1 ��h �� � ��n�
Sta�e Credential#'s_���Q� � �, '��b9� ,
Dwailing Contractor pualili�r� Dwelling Coatractor 1� Building Contrac[or lteQ;stration#
Achitcct/ Company Name����� ' 1,.L � Phone
Designer � ���
�DJ�/�- � l���Tt�
Email
Address ' .
Permit Type Residential Single Family Rcsideatidl Duplex Comrttercial Multifamily Indus�rial
Catagory New Addifion Aiteration �
'�Pr.ojcct . .
` Description'. . � �
.. . . .. ,
^-�(�,i�-�� c. ��-' � i I.S C�S t � -F. ,
. n
. C-'Q �� ► ►� � ��, . . ' .
. � �.-L�� � . �� �� � �.�,
Mec6anical �Separate permits wiil be ohtained for the foiiowin��: ��s '
Permits: -..�j�irical:liy. � ^�`-- .Plumbi b °�
�. Y,' F Heating by
` :'Valoe qf Job� S_�; 1 (�D . VV (V'alue for mr�tc�als�9c labor is req.to ens�e consist cs.s�rmit fces for all applicants)
Payment by: Check #� : Cash Permit Fee,A,ccount
1 cerhfy the abeve i,�formarlon rs co►ripkre cmd accurate, A�ry deviatioru from the obove submiuec!informa[ron mQy reguire add;�onalpermila
• to D=ob_' d 1 aclviowledge an ugree!o�hese lerins.
1Varr1e: � �� . �(Plcase print)� , . D3te:� � �
Signature: . �' �