HomeMy WebLinkAbout0157187-Building � CITY OF OSHKOSH No 157187
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1817 SIMPSON ST Owner KATHERINE J ROESKE Create Date 08/13/2013
Designer Contractor JJ GEFFERS INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
TYPe � Building � Sign � Canopy � Fence � Raze
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garege Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Pertnit Not Required Occupancy Fee $0.00 Fiood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures p
Use/Nature SFR/KITCHEN REMODEU Remodeling the kitchen to include removing the drywall on three walls, insulating the exterior walls,installing `
of Work Inew cabinets and countertops. No walis are being moved and the ceiling is not being removed.
�
I
HVAC Contractor Plumbing Contractor ABEL PLUMBING
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: � ,9(�'`�� Date 08/13/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1407440000
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 st ing such activity.
I have read and unders the afore e tione ' rmation.
Signature Da
AgenUOwner
Address 3965 WESTERN D OSHKOSH WI 54901 - 9707 Telephone Number 231-2637
* 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 I 130
Clt'y �f OSIG��SlL Oshkosh,WI54903-1130
� Phone:(920)236-5050
Fa�:(920)236-5084
Building Permit Application WWW���.oshkosh.w�.�s
Project
Address �' O r�
Applicant Owner Contra Tenant Other(describe)
Owner/ Name �� t,�,� �S�`e Phone
Tenant
Address ,..JiM Email
Contractor Company Name S� � p,s �',.� Phone :
Contact �qsa,� ��o ���s Email
Address �e2�_S'" �, a„�o�, ��
State Credential#'s
, ,
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
Description � " '}c ��"" ��`�''�/
Mechanical Separate permits will be obtained far the following:
Permits Electrical by_ �r��r Plumbin b
g y ���. Heating by
Value of Job
$la e oe •�d (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 consplete and accu��ate. Any deviations from the above subn:itted information may require additiona!permits
to be obtained. I ackno �le e and agree to these terms.
Name: I�So vC t� (Please print) Date: �f��
Signature: