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Home My WebLink About0157338-Building (alterations to furnace room) � CITY OF OSHKOSH No 157338 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 820 GREENFIELD TRL Owner JEFFREYA/MICHELE L BELL Create Date 08/21/2013 Designer Contractor OWNER Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence 0 Raze � Zonin9 R-� 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 � Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature ,SFR/ Alterations to the fumace room. Addmg walls for a new cabineUcountertop and fridge area. Removing some non loadbearing walls, of Work iin the family room per floor plans. Electrical receptacles will be added if the spacing requirements are not met(separate permit may be irequired depending on the scope of work). All construction shall comply with State and local codes. '� HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $1 Plan Approvai $25.00 Permit Fee Paid $44.00 Park Dedication $0.00 Issued By: �� Date OS/21/2013 Final/O.P. 00/00/0000 ❑ Permit Voided ; Parcel Id#0613992700 Cautionarv Statement to Owners Obtaininq Buildinq Permits 101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a . building permit with a statement advising the owner that: If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under s. 101.654(2)(a),the following consequences might occur: (a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. (b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a),because of any bodily injury to or death of others or damage to the property of others that arise out of the work performed under the building permit or because of any bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. *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 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the Ciry of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the worlc 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 und and he foremenf d info ation. Signature Date —� ' AgenUOwner Address 820 GREENFIELD TRL OSHKOSH WI 54904 - 8006 Telephone Number 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. �' �r� i 1 � � . � � � . � � • � • - � � � ❑ Check this box if you are a contractor participating in the Pernut Fee Account System and you would ' like this permit processed through your account. o �-- ______-� Project Address: _�� G(�.C'��l Q �(J� �r�'-� � Circle one: ingle Fami Duplex Owner's Name: ��=�� ,Je ( ' Daytime Phone#:��' �aS- �, c�l d Contractor's Name: Daytime Phone#: If the contractor is applying for the permit provide the following: ---_.._ Dwelling Contractar# Contractor Qualifier# *These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors conducting work on residential property. Value of the project including labor and material costs $ 1�p�� *The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants even if you're doing your own work. A general rule of thumb is to double the material cost or provide an estimate from a contractor. Full description of the work being done: � ��S f�M o� <,Q �c�r�t4.ce ,.� ct,�c� fa,�.� I roo� t-,;� � � RS�q t� , � �� , �� C(�.vt"-�C��bi7 • �vU X' �a�� : Electrical Work is being done by: /v, /i . Plumbing Work is being done by: J�� /� , Heating Work is being done by: �� Any work not noted on this application will not be included on the permit! � , . . � .. The following documerits are attached to,this application: ' � a,�'2 Sets ofFramin�Plans ` i o Applicable�'ees . ; � Please read the following and sign and date this application prior to applying for the building permit. I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional reviews and permits to be obtained. I acknowledge and agree to these terms. Signature: Date:�/a�� 4 1/25/20ll