HomeMy WebLinkAbout0156816-Building � CITY OF OSHKOSH No 156816
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1135 LAAGER LN Owner GREGORY J/CAROL J HENSEL Create Date 07/22/2013
Designer Contractor GEFFERS REMODELING _
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 � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature !SFR/remodeling bathroom to include new fixtures and new floor,vanity cabinets/no walls being taken out or added/ all work will meet 'i
of Work listate and local codes
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il ;
HVAC Contractor Plumbing Contractor ABEL PLUMBING
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �� Date 07/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided', Parcel Id# 1310740400
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 m ioned information.
Signature ��_ Date � � �3
AgenUOwner '
Address 2640 WESTMOOR RD OSHKOSH WI 54904 - 0000 Telephone Number 235-1422
* 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.
City of Oshkash �
Znspectiu�Searvices Division �
P O Box 1130
pgl�kctgh,yVi 54903-i130`
Ph�e:(920)?36-5050 (��
Fax:(920)236-5084 �
Building Permit Applicafion °"' E'""�
, i�'��x are a cohtractor aor�ir*�►��#ia� i�e the Fsrbtit Fes.i co�ii�i.�ystase axd hare adeaa�ate i�t�ds check here_
� ox want th�s �roceased through voirr accoYnt �7
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Additiansl i�forma�ios,sue�ss Piau sabmitfxl�nd apprm►ai,msY be r�4�before issuance. Fiier�,
Iocated in tLe Lalh�ap,,may be�+efe�ncdl to�te i�a�ad�nal iuf����ig�+���
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I certify the�rbove�atzon is co�nplete and accurate. Arcy deviativns frotn the above submitt+ed
i�¢ormation�ray reQuire additlonal perinits to be obtairred I acb�awledge and ag�'ee to tl�e r�s•
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