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Home My WebLink About0157700-Building (weatherization) /�'� CITY OF OSHKOSH No �s�7oo OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 823 MERRITf AVE Owner SHAWN MCAULEY Create Date 09/12/2013 Designer Contractor ADVOCAP INC Inspector John Zarate Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence � Raze � Zoning R-4 Class 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 � Floating Slab � Pier 0 Other � Concrete Block 0 Post � Treated Wood Occupancy Pertnit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature SFR/Weatherization"*To inGude insulating and weather stripping. Any HVAC, plumbing or electric work will require separate permits of Work Ifrom lics contractors. ' �� --------- ----- --- -- HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $2,978.95 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00 Issued By: .S�'�_ Date 09/12/2013 Final/O.P. 00/00/0000 � Permit Voided I Parcel Id# 1101150100 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 PO BOX 1108 FOND DU LAC WI 54936 - 0000 Telephone Number (920)426-0150 * 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. � � City of Oshlcosh � �*�spection Services Division P 0 Box 1 130 � Oshkosh,�54903-1130 Phone:(920)236-5050 O HK01H Fax: (920)236-5084 Building Permit Application ONTHE WATER If vou are a coniractor participating in the Permit Fee Account System and have adequate {unds check here �f vou want this processed throuph your account � . JOB ADDRESS � a� I- 1 C rt''/ �' �i Ve V S n/`0 S � OWNER �GtmlQ �hAS rl2 - CONTRACTOR � yD ��P �nL I am the: ❑ Owner OR ■ Contractor USE CA�'EGORY ❑Sin;le Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Work being done: ��Addition L�Deck/Porch/Patio ❑Driveway/Parking ❑Extemal Remodeling 0 Fence/Hedge/Kennel 0 Garage/LJtility Structure _ ❑Handicap Ramp ❑Hot Tub/Spa G Intemal Remodeling ❑Sign/Canopy/Awning C Stair/Handrail ;�Stove/Fireplace G Swimming Pool ❑Wrecking Permit �Other WeC=U��l�r'�ZO.�lv'1 : Additional information, such as pl:�n submittal and approval, may be required before issuance. Fliers, located in the hallway, may be referenced to note if any additional information is neces5ary. •: Full description of work being done: �� cn� -4-c�C1��C� �/�rk �� '� Any work not included in this application is not permitted. Value of the j ob ��I 1� o� _ (Value for materials and labor is required to ensure consistency in accessing permit fees for all — applican's.) • PLEASE READ, SIGN, & DATE: 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: ____�n n /�'? �0.r s�'� : (Please pnnt) Signature: � � �-----t�`' Date: �'-q '�3 : 3/02