HomeMy WebLinkAbout0157618-Building � CITY OF OSHKOSH No �s�s�s '
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 16 CHATEAU TER _ Owner BRIAN G ZIEGLER Create Date 09/09/2013
Designer Contractor DEL TRITT CONSTRUCTION LLC
Inspector Nicole Krahn
Category * 140-Interior Remodeling _ _ Plan
Type � Building � Sign 0 Canopy � Fence � Raze
Zoning R-1 Class of Const:
_ Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. � Projection j
Finished/Living 768 Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths _ Signs
Foundation � Poured Concrete 0 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/Remodel the basement to include adding a bedroom with egress window,bathroom, laundry room and family room. New walls will I
of Work be non-loadbearing. All construction shall comply with State and local building codes. :
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HVAC Contractor TENTH STREET STATION INC Plumbing Contractor C SWEETING PLUMBW
G LLC
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $20 0.0 Plan Approval $50.00 Permit Fee Paid $138.24 Park Dedication $0.00
Issued By: Date 09/09l2013 Final/O.P. 00/00/0000
❑ Permit Voided'i Parcel Id# 1527610000
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 o s ure any necessary approvals before starting such activity.
I have read nd sta ione ior tion.
Signature g
Date
AgenUOwner
Address 6228 COUNTY RD N PICKETT WI 54964 - 9533 Telephone Number 589-4209
* 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/pubiications/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.
� GG P O Box 1130
Clt'�,/ �f OSlLK.�slG Oshkosh,WI54903-1130
� J Phone: (920)236-5050
Fa�c: (920)236-5084
Building Permit Application �W���•oshkosh.wi.us
Project /
Address /!e C, � ,�o k �`.�r•r2��
Applicant Owner Contracto Tenant Other(describe)
Owner/
Tenant Name � r;�y H ��P � .�� Phone_ 3 7 9 — �f"/Q p
Address /� �� �1
_ �t � e a,u__. / -e.r r �^ Email
Contractor Company Name � p Phone ��9 � �p � a �
Contact � � � � � ;'f-�- Email
Address �O v2 oZ �O _ �pQ /v � !`� C e (� � S �9�-0
State Credential#'s
Dwelling Contractor Qualifier# � Dwelling Contractor# � Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Sing e Fami Residential Duplex Commercial Multifamily Industrial
Catagory New Addition teration :
Project �s � �
Descripdon � � ✓� �
� T c `7� f d o wL
�'"R � p
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�68 sq �'-t-
Mechanical Separate permits will be obtained for the following:
Permits Electrical b (.,'
Y t.�.✓►'� i v► 4 Plumbing by S e �� Heating by
Value of Job ^
$ vZ p� �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 accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name: (Please print) Date:
Signature: