HomeMy WebLinkAbout2013-Building (basement & porch) � CITY OF OSHKOSH No �5�sss
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1605 RIVER MILL RD Owner CHANDRALEKHA BOMMAKANTI Create Date 09/30/2013
Designer Contractor SALZIEDER BUILDERS
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence 0 Raze I
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 Piain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/repairing basement walls due to water damage/replace front proch posts and hand railings per code/all work will meet state and
of Work local codes/
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,700.00 Plan Approval $0.00 Permit Fee Paid $93.00 Park Dedication $0.00
Issued By: ��• Date 09/30/2013 Final/O.P. 00/00/0000
❑ Permit Voided', Parcel Id# 1224310000
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 und and the af inenfone nformation.
Signature Date " ��J
AgenUOwner
Address 2470 NEWPORT COURT OSHKOSH WI 54904 - 7317 Telephone Number 233-4850
* 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-Demolitlon 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.
� P O Box 1130
� C'ltv Of�SlL��S/� Oshkosh,WI 54903-1130
.J P Fax:(920)236-5084
Building Permit Application �•��.oshkosh.W�.us
Project
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Applicant Owner Contractor�' Tenant Other(describe)
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State Credential#'s �rj�1 r] , � rj r]l r, ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit T Residential Single Fam' Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project ! T c � � �
Description
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Mechanical Separate permits will be obtained for the following:
Pe��� Electrical by C.1����:,5 Plumbing by Heating by
Value of Job n v G
$ � , " / �' � '--(Value for materials&c labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # ' Cash Permit Fee Account
1 certify the above information is complete and accurate. Aroy deviations from the above submitted information may require additional permits
to be obmined. 1 acknowledge and agree to these ierms.
Name: G� (Pleasc princ) Date: a I �� l 1.�
Signature: