HomeMy WebLinkAbout0157009-Building � CITY OF OSHKOSH No 157009
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1661 1663 MARICOPA DR Owner JHA PROPERTIES LLC Create Date OS/01/2013
Designer Contractor J&M PROFESSIONAL SERVICES, LLC.
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
Zoning R-3 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 0 Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Adult family home/Combining the duplex to create an adult family home. The tenant separation wall will be removed and the '
of Work �bathroom will be enlarged to meet ADA requirements. Two new handicap ramps will be installed on the front of the home. Doorways will
be widened. A compliant smoke detection system and carbon monoxide detectors will be installed.
I .
HVAC Contractor Plumbing Contractor UNKNOWN
Electric Contractor UNKNOWN????
Fees: Valuation $30,000.00 Plan Approval $50.00 Permit Fee Paid $195.00 Park Dedication $0.00
Issued By: � Date 08/02/2013 Final/O.P. 00/00/0000
❑ Permit Voided�i Parcel Id# 1318070000
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 er tand e afore ntioned information.
Signature Date�O
AgenUOwner �
Address 739 WARBLER RD. HOWARDS GROVE WI 53083 - 0000 Telephone Number 920-207-6703
* 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
n l..l{-y Of OS���s G Oshkosh,WI 54903-1130
� �� ��� Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application �'�'w'•ci.oshkosh.wi.us
Project ��/ � �/'�� , �
Address f� /`i O Q i V�
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name J_�{A ��� Dc.c}'s�S ;4 �-L L Phone �2d� ! $b -�g9y
Tenant — S�`�,�
,/ Address 33 �'t', cic�rr /�Yt ,���h�" A,�✓ Email ' /NlY"!'G 7lC�o^^�t.rlc
��,�0 Contractor Company Name ��! & f�o . �, (.C('Phone �� 2-0�� ��03
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Contact � o S� �aW C/ Email i M�¢,I'V/�CS � g�4 1�4�'►�0• 0*1.
Address �J � w0./`�j�cr ��L ��awarc�S `jPOJt, w� J�.3�g.3
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name /��j q�.V 3 �I/'�n r TL C�J Phone 7�►— �5�.- yyy�{
Designer . �
Contact awl /'/c.i9Tl�f /'1 Email `/',�IlT��! !1� �,pctG�SG./���' 'fS/!CI �
Address ��.3��7 /�i 1 G�i �)n/ ��L � � (i�J f �3 a /
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project A e�a( f wo (�Jfcc�+ C�a.�t' Mh�S . CaRV'rr'�'�'�'� T� ��G A cet tS1��
Description � /
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 1�°'�j Q�.-� �--
� (Value for materials&labor is req'to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accui•ate. Any deviations_from the above submitted information may require additional permits
to be obtai 1 a ow dge and agree to these terms.
Name: ��,.� / �oc.,ic/' (Pleaseprint) Date: �—ay l�
Signatur . �