HomeMy WebLinkAbout0157101-Building (new drywall) � CITY OF OSHKOSH No 157101
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 821 E PARKWAY AVE Owner KEVIN R DAWSON/JENNIFER D NEUMEIER Create Date 08/07/2013
Designer Contractor GREGS HANDYMAN SERVICE
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence 0 Raze I :
2oning R-2 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 0 Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy PeRnit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature DUPLEX/LATE PERMIT/LOWER UNIT/ Installation of new drywall in the existing bathroom,kitchen and bedroom. No walls were �
of Work moved. No cabinets were installed. This permit does not include plumbing work. �
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $137.00 Park Dedication $0.00
Issued By: Date OS/07/2013 Final/O.P. 00/00/0000
� Permit Voided'' Parcel Id# 1103120000
In the performance of this work I agree to perform II work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to force easement restrictions of which it is not a party, if you perform the work
described in this permit ap tion within a ase t,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure necessa a rov befor rting such activity.
I have read and u er th for n' ed' ion.
Signature Date ��
AgenUOwner
Address N 21 LAKESHORE DR FOND DU LAC WI 54937 - 0000 Telephone Number 920-979-5513
* 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 pertormed within two business days from the time the project is ready.
� P O Box 1130
City of OSlG��s� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fa�c:(920)236-5084
Building Permit Application WWW��;.oshkosh.w;.�s
Project :� � l �C�L, c�y
Address ���"
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �-� �`'� � � �' {��� �� Phone �a-� a�7 � ���
Tenant
Address � I ��"'��u Email
Contractor Company Name s � {�� ���� Phone 9}f� �7�1 �vs��
Contact��� �� ���� Email
Address_(v���� �������—° N'v
State Credential#'s ` ���1 � , l �' � D � � ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �T¢} �I � �/Yt S' � I � �d'Yj
Description �� n ��
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �OQ�r--
$ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 5�15� Cash Permit Fee Account
I certi the abov i or tion is consplete and accu��ate. Any deviations fro�n the above submitted information may requir�e additional permits
to b btained. ck edge a d agree to these terms.
Name: (Please print) Date: ��� �� �
Signature: