HomeMy WebLinkAbout0157737-Building � CITY OF OSHKOSH No 157737
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 804 ECKARDT CT Owner JEAN M MICHELS Create Date 09/16/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze '
Zoning R-1 _ 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 � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood — —
Occupancy Permit Occupancy Fee $0.00 Fiood Plain Height Permit
Park Dedication #Dweiling Units 0 #Structures 0
Use/Nature SFR/tear out old kitchen cabinets and repolace with new/installing new flooring as well/no gutting of interior walls/no walls being added
of Work or taken ouUall work will meet state and local codes I
I
� II
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HVAC Contrector _ _ Plumbing Contractor
Electric Contractor
Fees: Valuation $18,000.00 Plan Approval $0.00 Permit Fee Paid $148.00 Park Dedication $0.00
Issued By: T.� Date 09/16/2013 Final/O.P. 00/00/0000
� Permit Voided� Parcel Id# 1412900000
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 _ Oshkosh WI 54901 - 0000 Telephone Number
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notifcation 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 speci�ed 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.
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❑ Check this box if you are a contractor participating in the Pernut Fee Account System and you would
like this pernut processed through your account.
Project Address: ��'y ��� ���'1`" L 7`� Circle one: Single Family Duplex
Owner's Narue: J��3,✓ /1') ��� h�-L-L.S Daytime Phone#: aZ,3 a �3 S-,�'�
Contractor's Name: Daytime Phone#: :
If the contractor is applying for the permit provide the following:
Dwelling Contractor# Contractor Qualifier#
*These two credentials are required by the State o.f'Wisconsin Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $ /�,� D-�`Z� 4-� ;
*The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants
even ifyou're doingyour own work. A general rule of thumb is to double the mate�•ial cost orprovide an estimate
fi�om a contractor.
Full description of the work being done:
�E'Ul r m �t f o /o/ c.. �-rry 6 o�t,e�✓s � .�P�/�t c e Lv��� k,`7��L c�l�
��p v a�� D l� �i�ND�P�(�'Y7 ��O O.E'/'.v`S, e� %r(�J��l� .N�! �<J .l� i i
��.�o e T ���/�'�e v � /yl o v e �./�� a��tfl e �`s . t;vs 7`A/1�e� �a.e.���e
Cvi"S�oS�1 � ,� .C'P�o t✓�tJ t r� �i:S�u/�S���P,
Electrical Work is being done by: !'a•' /( ��ft 9 y P�eT6�P �7`'12 PK v f v c.v.•Uc�
Plumbing Work is being done by: �;; // S'� ti� F,� � ,P n;�i e� d� �uJ�rl�•�
Heating Work is being done by:
Any work not noted on this application will not be included on the permit!
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"The f4ll�w�,ng documents aaze attached tfl this application .; _
o_:2 Sets of Framing�ians- , �,,APPlica�le fees ` _ _
Please read the following and sign and date this application prior to applying for the building pernut. :
I certify the above information is complete ana'accurate. Any deviations from the above submitted
information may require additional reviews and permits to be obtained. I acknowledge and agree to these
terms.
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Signature: �' -c�� �'u � Date: ��-J-�,� /4,i
4 8/9/2013