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Home My WebLink About0157357-Building (air sealing & insulation) � CITY OF OSHKOSH No 157357 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1255 W 18TH AVE Owner VILLA ST THERESA INC Create Date 08/21/2013 Designer Contractor ADVOCAP INC Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence � Raze Zoning R-3 Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j 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 #Dwelling Units 0 #Structures 0 Use/Nature SFR/Air Sealing the house and installing attic insulation. of Work i HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $23,505.80 Plan Approval $0.00 Permit Fee Paid $174.00 Park Dedication $0.00 Issued By: �e� Date 08/21/2013 Final/O.P. 00/00/0000 ❑ Permit Voided'� Parcel Id# 1307310300 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 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 Oshkosh � Inspection Services Division � P 0 Box 1130 � Oshkosh,WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 O HK�.IH E�uilding Permit Application ON THE WATER Ifyou are a contractor participatinQ.in the Permit Fee Account System and have adequate {unds check here �f�ou want this processed through �;ur account � JOB ADDRESS ��5,�j (,J �Sfh A ve- �,5'h Ic�S h J��1 9 �� OWNER /' i� I IC'r1 I UrY1 �OUSJ�O� ��Ur�pIG1�/O/1 CONTRACTOR ��"{�P Zr,c, ��`�'�dVED I am the: ❑ Owner l)R ■ Contractor , auG i s 2013 USE CATEGORY OSinble Family ODuplex ❑Multi-�amily �Rental ❑Commercial ❑Industrial DEPARTAtE\70F C0�1�IUVI'fY DE�"ELOP'.1fENT IVSPEC'TIO�SER�'ICES DI�'ISIOV Work being done: ' ❑Addition G Deck/Porch/Patio ❑Driveway/Parking : ❑Extemal Remodeling ❑Fence/Hedge/Kennel ❑Garage/Utility Structure 0 Handicap Ramp �Hot Tub/Spa C Intemal Remodeling ❑ Sign/Canopy/Awning C Stair/Handrail ❑Stove/Fireplace C Swimming Pool C Wrecking Permit �Other WeQ�-her;�a�-�o�� Additional information, such as plan submittal and approval, may be required before issuance. Fliers, : located in the hallway, may be referenced to note if any additional information is necessary. ❖ Full description of work being done: 5�� -�-{-o.Che� v�/�rk o�c1 e r— Any work not included in this application is not nermitted. Value of the j ob $ a 3��0 J< O� (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 information may require addit%onal permits to be obtained. I acknowledge and agree to these terms. Name: �n n �'� �ar S�'� (Please print) S ignature: � rn �� nate: R -13-13 3/02