HomeMy WebLinkAbout0157983-Building (install new shower base) � CITY OF OSHKOSH No 157983
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1708 OAK ST Owner JEROME N WOLF Create Date 09/30/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN
Inspector John Zarate
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
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 iSFR/remove and dispose of old tub for new shower base and necessary drywall repairs
of Work
"'debit acct*'
,
.
I
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $5,559.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: ��, Date 09/30/2013
Final/O.P. 00/00l0000
❑ Permit Voided I, Parcel Id# 1510500000
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 understand the afore mentioned information.
Signature Date
AgenUOwner
Address 230 N KOELLER ST OSHKOSH WI 54902 - 4109 Telephone Number (920)303-5797
* 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.
Sep, 26. 2013 1 :47PM � REBATH CENTRAL WI 9203035935 . No. 4595 . P, 1/2 :
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l.�G `.Q . .OS/L�.�s� • • • Phone:(920)236-SO50
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. Uwclling Contrador Queli6ar il Dwclling Contractor# Buildin�Convactor Regstration#
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Permit Type Residential Single Family Residential Duplex Co�rnercial M:ulti�'amily lndustrial
Catagory. New , Addition Alteration �
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Mecbanical Separate permits will.be obrained for the foilowing: � �
Permits.. . . _..:._.. :... :, .. . .
.. . .. ----:--.--.---.:. .:�1�Irical;ti.y.: . . Plumbing by° � I�eating.by
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- $ � � ! • � (Value for matcnals&labur is req.io ensure consiste ,rrnit,fccs for;dl applicants.
- � Payment by: . � Check #� : Cash Penmit Fee Account �
�!cerlify[he'above irrfonnarion.'is complere and accurate. A�y devrations from 1he above subm�ned informatian r,�y reguire add'uional permiu
. ,. . .to ined I acJmawledge.mui agree to Ihese te�nzr. , . .. . ...;: , . �
� N2me: �..5•��.� . (Please print) �, _ Date:� � `�O .)�.
Si�ature:; � ������ : .