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Home My WebLink About0157518-Building (misc. interior) � s � CITY OF OSHKOSH No 157518 � OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 112 W 12TH AVE Owner NELLY H BERGER Create Date 09/03/2013 Designer Contractor ADVOCAP INC Inspector Nicole Krahn Category * 140-Interior Remodeling _ _ __ Plan ; � Type � Building � Sign � Canopy � Fence � Raze � 2oning R-2 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 0 Other � Concrete Block � Post � Treated Wood Occupancy Permit Not Required Occupancy Fee _ $0.00 Flood Plain Height Permit Park Dedication #Dweliing Units 0 #Structures 0 Use/Nature SFR/Air sealing,installing attic insulation,installing CO2 detectors and venting the bathroom exhaust fan. of Work � I � — _.— — - - —� HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $4,019.06 Pian Approvai _ $0.00 Permit Fee Paid $65.00 Park Dedication $0.00 Issued By: � �`� Date 09/03/2013 Final/O.P. 00/00/0000 ❑ Permit Voided' Parcel Id#0302990000 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-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf z 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. I 4 � City of Oshkosh � �� ` Inspection Services Division � � P 0 Box 1130 � _ Oshkosh,�54903-1130 � E Phone: (920)236-5050 O HKCJIH � Fax: (920)236-5084 = Building Permit Application ON THE WATER " I(vou are a contractor participatinQ in the Permit Fee Accoun� System and have adequate funds check here � �ou want this processed through ycur account � � JOB ADDRESS � � a � �a}�� V(, �SI'l��S� k OWNER Ne IJv e�Qer- 4 CONTRACTOR �D�/�G{�P �n c. - t f € I am the: ❑ Owner t)R ■ Contractor ; ; _ USE CATEGORY R�i ��+ IVED j ❑Sinble Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial CJIndustrial � g AUG 2 9 2013 � Work being done: € ❑Addition C�Deck/Porch/Patio ❑Driveway/Parking s ❑External Remodelin C Fence/Hed e/Kennel ❑Garage/Utility Structure DEPART;11£\T OF ? g g C0�1�tU1ITY DF`\'ELOP>tEVT ` 0 Handicap Ramp C Hot Tub/Spa C Internal Remodeling iNSPECTiOV SER�'10ES Dl�'ISIOV � �7 Sign/Canopy/Awning C Stair/Handrail ❑Stove/Fireplace G Swinuning Pool Ci Wrecking Permit € �Other WeQ��ler'tz.0��1�n Additional information, such as plan submittal and approval, may be required before issuanc.e. Fliers, located in the hallway, may be referenced to note if any additional information is necessary. ❖ Full description of work being done: 5�2 0�� -O.Ch�C� v�l��k o'rd�'" � � Anv work not included in this application is not permitted. Value of the j ob $ '1��.�b (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 E information may require additional permits to be obtained. I acknowledge and agree to these terms. Name: �nrl �'� �0.rS�`� (Please print) Signature: �,�: �_—�� ^�� Date: g -o�6 � � 3 3/02 i �