HomeMy WebLinkAbout0157562-Building (install new shower) � CITY OF OSHKOSH No 157562
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 260 GREENFIELD TRL Owner EDWIN W/MARY PERRY Create Date 09/05/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN •
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze �
2oning 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 0 Post 0 Treated Wood
Occupancy Permit _ Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/remove existing tub for new shower and any drywall repairs
of Work
"debit acct**
i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,300.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: ��1^. Date 09/05/2013 Final/O.P. 00/00/0000
� Permit Voided' Parcel Id#0618140000
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.
Sep 5 2013 9: 56AM REBATH CENTRAL WI 9203035935 , No. 4517 P, 1/5
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�Permit Type . .Residential Single Familq . Residential.Duplex Comumercifll Multifamily Industrial ,
Cata;ary New Addition �. Alteration '
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�� Mecbanical � Separate permits will be obtaiaed for the foiiowing:
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:�11p�.of�ob- $ fp 3� , �.' • �yalue tor ma�erisls&labor is req.to ensure consiste " �rmit iees for all appGcant�) i
: � Payment:by: . Check # � Cash Permit Fee Account
• 'I certify7hs above in,formarion:is corriple[e and accvrale. Arry devta[ions fronr Ihe above submilled informalioti r»ay require addiriona/permi�r
�o be obtained I acknowkdge a�rd agrse[o these terms, . :
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Name: I�OD (P�ease piicit) Date: �'�. ,'�
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Sigriatiue• . .