HomeMy WebLinkAbout0157745-Building � CITY OF OSHKOSH No 157745
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1451 PHEASANT CREEK DR Owner HUMA MOHSIN/MOHSIN M SAEED Create Date 09/16/2013
Designer Contractor BB CONSTRUCTION
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze �
2oning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living 450 Sq.Ft. Bedrooms 0 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 SFR/heat calc's will need to be submitted before they close in the new addition/all work will meet state and local codes/windows will
of Work need to meet 8%for natural lighting/electrical and HVAC will require separate permits/all work will be installed per plans ,
submitted/smoke detectors and CO detectors must be installed per code
i � ;
HVAC Contractor Plumbing Contractor
Electric Contractor D.KAL ELECTRIC LLC
Fees: Valuation $18,500.00 Plan Approval $50.00 Permit Fee Paid $81.00 Park Dedication $0.00
Issued By: � Date 09/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1343250000
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 C' rongly urges the permit applicant to contact the easement
holder(s)and to secure ny necessary approvals bef rti such activity.
I have read and und nd the afore mentioned' - ��'
Signature " Date �
Agent/Owner
Address 521A N 4TH AVE REDGRANITE WI 54970 - 0000 Telephone Number 920-290-0127
* 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 intormation on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/pubiicatio�s/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
� �lG y �f Os���s!L Oshkosh,WI 54903-1 L;0
� Phone: (920)236-5050
Fa�c:(920)236-5084
Building Permit Application ����.oshkosh.W�.�s
Project �[ l �
Address ^T�' ��� ►'17 ,�" e�
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name � � �RG�� Phone f�� �-aId '� ��Q '�
Tenant ��� �`� r
Address � Email
Contractor Company Name � C� ,v S _/�Q(,�c-�I DN Phone �aC� '-a`'j a --O�a �7
Contact �, p_ c a,�, �j� (�2 c��� � Email� > � � .,¢��r '
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Address �c� 1�'! � �� �1 U� ��O��t�A �v�TC� l.�J� �/C�
State Credential#'s , , '
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Emai 1
Ad :
Permit Type ' ential Sin le Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project ���i1�,'f`j � o��'� �4 c�� �a p'� C��q 2.4 4�
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by ° �.E} Plumbing by �/',�. Heating by
Value of Job � �
$��S C�Q_'— (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may requi��e additional permits
to�obtained. 1 acknowledge and agree to these terms. '
Name: 1 � , � (Please print) Date: / (�
Signature: �