HomeMy WebLinkAbout0158071-Building (addn to #156079) � CITY OF OSHKOSH No 158071
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 814 CENTRAL ST __ Owner BERNS W COOK Create Date 10/03/2013
: Designer Contractor ABRAHAM CONSTRUCTION LLC
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building 0 Sign � Canopy � Fence � Raze I
Zoning R-2PD Ciass 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 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
UselNature �SFR\Extension of permit#156079 for porch work-steps,decking,approach to be replaced on existing frame. �1
of Work ! I
I
II
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— —
HVAC Contractor _ Plumbing Contractor .
Electric Contractor
Fees: Valuation $2,600.00 Plan Approval $0.00 Pertnit Fee Paid $14.00 Park Dedication $0.00
Issued By: Date 10/03/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1005530000
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 understan h fore mentioned information.
Signature � Date /rj —,f�l�
AgenUOwner
Address N9185 HASS RD VAN DYNE WI 54979 - 0000 Telephone Number 920-517-2478
* 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
ClLy �f OS���S/L Oshkosh,WI54903-1130
� Phone: (920)236 5050
Fax:(920)236-5084
Building Permit Application wWW���.oshkosh.wi.us
Project \/ J
Address �/7 ��/�oi /
Applicant Owner ontractor Tenant Other(describe)
Owner/ Name �r,y,., �jp1G Phone
Tenant
Address Email
Contractor Company Name �d /'A l-�„ y,,� GfJYl.��"r,�[�l��"` Phone {�f� - 2��� �
Contact ��� L ��a�'� H� %`�� Email
Address
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 �blG c � �i'D�'!� 5���
Description �
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ Z� b b alue for materials&labor is re to ensure consistenc in accessin ermit fees for all a licants.
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Payment by: Check # // /� Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations fran the above subnaitted infa•mation may requir�e additional permits
to be obtained. I acknowledge and agree to these terms. �
Name: �r1 C� T�,��-a f'1�,, v`�� (Please print) Date:_l U -� 1/���
Signature: ���