HomeMy WebLinkAbout0157104-Building � CITY OF OSHKOSH No 157104
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER '
Job Address 22 W BENT AVE Owner OSHKOSH RENTAL PROPERTIES LLC Create Date 08/07/2013
Designer Contractor CLINT ENGSTROM REMODELING
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � 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 0 Post � Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/ENTIRE HOUSE REMODEU The owner purchased this home and it was already gutted. No walls will be moved. New insulation, �
of Work rywall,cabinets,flooring,wrapping windows and 8 replacement windows will be installed.
,
;
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HVAC Contractor Plumbing Contractor UNKNOWN
Electric Contractor UNKNOWN????
Fees: Valuation $20,000.00 Plan Approval $0.00 Permit Fee Paid $160.00 Park Dedication $0.00
Issued By: �o�j�� Date 08/07/2013 Final/O.P. 00/00/0000
❑ Permit Voided�i Parcel Id# 1502620000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secu ne ary approvals before starting such activity.
I have read and unders n he a r mentioned information.
Signature Date
AgenUOwner
Address 2314 LYMOUTH ST OSHKOSH WI 54901 - 1729 Telephone Number (920)420-9913
* 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 1130
C'lty �f OSl���SlL Oshkosh,WI 54903-1130
� Phone:(920)236-5050
F�:(920)236-5084
- Building Permit Application W����.oshkosh.W;.�s
Project p �` �C��
Address W _
Applicant Owner Contractor \` Tenant Other(describe)
Owner/ Name �IQC1d�°�I c '�- 11`/l�v�C ���eT P onet � �aL�'' � l� "'3l�77
Tenant �v,�k ��J _a/6 ^ ,��1�S—
Address Email
Contractor Company Name C-��, ��w�o�c� ,�., Phone y� � }���- �/��3 :
Contact � �.�T ��ty S�{e„� Email �i�CS�'/'i.,. �`!� �g� ,�or`^
Address �9 y 7 '1�� ��v� �h, �S�O�v� I�✓� �����
State Credential#'s l� � � � -�6 , �2��3 �� ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building ConVactor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address_—_----------_- -
Permit Type � Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory e ' 'on terati
Project `��'�-,��� , �C�wa�l , i�Q tl�� , l���a�J f , �j.b�� � � Ca�����
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by �pd� I�icw�v Plumbing by Heating by '
Value of Job $ a(��a�`�
[/ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # ��� � Cash Permit Fee Account
I cert�the above information is complete and accu��ate. Any deviations from the above submitted information may requi�•e addirional permits
to be obtained. I acknowledge and agree to these terms.
Name: � 2-h S�h((��'^ (Please print) Date: �- ?-I3
Signature: