HomeMy WebLinkAbout0157355-Building (misc. interior) � CITY OF OSHKOSH No 157355
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: OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 233 W 14TH AVE Owner ROBERT D PUSKARICH Create Date 08/21l2013
Designer Contractor ADVOCAP INC
inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy 0 Fence � Raze �
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection �
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, installing attic insulation,wall insulation,CO2 detectors and a bath fan per the scope of work. �i
of Work
i
—
HVAC Contractor Piumbing Contractor
Electric Contractor
Fees: Valuation $3,636.15 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: Date 08/21/2013 Finai/O.P. 00/00/0000
❑ Permit Voided� Parcel Id#0901770000
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 �
L�spection Services Division �
P 0 Box 1 130 �►
Oshkosh,�54903-1130
Phone:(920)236-5050 �K01H
Fax: (920)236-5084
Building Permit Application ONTHE WATER
I�vou are a contractor participatinQ rn the Permit Fee Account System and have adequate funds check here
if you want this processed throuQh your account �
JOB ADDRESS a,� C. ) f�f'h V� Q C�"l�b� � :
OWNER �(���� � t't�;�Q�'iC1l
CONTRACTOR� �n
I am the: ❑ Owner OR ■ Contractor RE����ED
tiSE CATEGORY AUG 1 s ZO�3
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
DEPART11E1T OF
Work being done: C0�4�tU�i�fS'3�E�'ELOP1tEVT
�Addition ❑Deck/Porch/Patio ❑Driveway/Parking iVSPECTIO\SER�'ICES Df�'1510.V
L�Extemal Remodeling ❑Fence/IIedge/Kennel ❑Garage/Utility Structure _ :
❑Handicap Ramp ❑Hot Tub/Spa C Internal Remodeling
❑ Sign/Canopy/Awning C Stair/Handrail G Stove/Fireplace
G Swimming Pool ;Wrecking Permit
�Other wea�-4�er�-�a���1
Additional information, such as pl�n 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: ��� c�-� �-n.CI-��C� v�/�rk orc� e��-
.
Any work not included in this application is not permitted. '
Value of the j ob $ 3�,3 6• � ; _ (Value for materials and labor is required to ensure consistency in accessing permit fees for all —
applicants.)
PLEASE READ, SIGN, & DATE:
I cert� the above informatron is complete and Q�o�tained. I�knoxl'Z dger andh Saee to th�e terrms.
information may require additional permrts to be
Name: �n n �'� 1--�r'�
(Please prmt)
� ��� ��Li[i.1.u�
Signature:
Date: :
_ 3/02