HomeMy WebLinkAbout0157512-Building � CITY OF OSHKOSH No 157512
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 408 REICHOW ST Owner JEFFEREY S/JANE E ROBERTS Create Date 09/03/2013
Designer Contractor JJ GEFFERS INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze ;
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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dweiling Units 0 #Structures 0
Use/Nature SFR/Expanding the existing half bathroom 2'to accomodate a shower. The bathroom will be expanded onto the existing stoop which I
of Work �has frost walls. ;
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HVAC Contractor Plumbing Contractor APPLE CREEK PLUMBING LLC
Electric CoMractor HULLAR ELECTRIC LLC
Fees: Valuation $ 000.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: Date 09/03/2013 Finai/O.P. 00/00/0000
� Permit Voided I� Parcel Id#0611140000
In the performance of this work I agree to perform all woric 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 afore mentioned i ormati .
Signature �at 9-03-/
AgenUOwner
Address 3965 WESTERN DR OSHKOSH WI 54901 - 9707 Telephone Number 231-2637
* 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.
P O Box ll 30
� l..lG y �f OS!L��S Gj Oshkosh,WI 54903-1130
� ��' Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application ��ci.oshkosh.w;.�s
Project
Address y�� �c'�'c �dw
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �P�� �-�n�o�<< f S Phone %/�- 7%2 C� .
Tenant
Address___�-I'08` �e, 'c�o c,�., Email
Contractor Company Name � J �� t�'�e�S �ys� �n�. Phone
Contact �ct,sd,.. ���a�S Email
Address �.� �S U�'o.�P�, ��
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project J3 �� C„�.1'J n.t� 'an. , i nC'tct� � G� .G d / .��
a �oc.v
Description r7� � �
C!��a�c/ TG� 7�/ /P� S'S°z-✓
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ �Dod (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify the above information is complete and accurate. Any deviations from the above submitaed informotion may requi�•e additionol permits
to be obtained. I acknowled e and agree to these terms.
Name: ��t u ti e - S (P�ease pr�nt) Date: ��- O 3 �/�
Signature: