HomeMy WebLinkAbout0157194-Building (add a door) � CITY OF OSHKOSH No 157194
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 739 MONROE ST Owner MICHELLE R PODOLL/SARA SHAFFER Create Date OS/13/2013
Designer Contractor RECKER REMODELING
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence 0 Raze i
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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Replacing an existing window with a door on the rear of the house. A new header will be installed for the door due to an increase inl
of Work he width. This permit does not include the exit and/or light that is required. Guardrails will be installed on the exterior side of the door to
'make this a jump platform until a code compliant deck/landing is constructed(a seperate permit is required).
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: ��� Date OS/13/2013 Final/O.P. 00/00/0000
❑ Permit Voided'j Parcei Id# 1107700000
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 per ' plication withi an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to s ur ny necessa a p befor starting such activity.
I have read an y�d tand the afor n' d' f ation. � ,
Signature Date —
AgenUOwner
Address 523 CEAPE AVE OSHKOSH WI 54901 - 0000 Telephone Number 707-0653
* 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
C'lt�/ �f OS/L��S� Oshkosh,WI 54903-1 1 30
� J Phone:(920)236-5050
Fa�c:(920)236-5084
Building Permit Application wWw���.oshkosh.w,.�s
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Address
Applicant Owner ontracto Tenant Other(describe)
Owner/ Name �"���T''�N� �b��l.-SE��i� Phone '�/Z���l lb �� ��V,�
Tenant
Address �3<� ���� Email
Contractor Company Name (���L�1L ��{'L�{����(3' f2� ���7 O��,�
Phone
Contact ( ��'1�S IL-�- ����L Email �f���`}��2-£� 7 �v C-�y �L
Address_ 5 Z � ���� � �t '
State Credential#'s ��/�L�� , �Q � ,�yy _) ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Sing e Famil esidential Duplex Commercial Multifamily Industrial
Catagory New Addition lteration
Project �-�r ���� �1�� (�� ,�'� ���
Description
�S�Zr� �t�-
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ (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 accm�ate. Any deviations fran the above submitted information may requlr•e additional permits
to be obtained. I acknowledge and agree to these terms.
Name: (Please print) Date:
Signature: