HomeMy WebLinkAbout0157785-Building � CITY OF OSHKOSH No 157785
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1534 BOWEN ST Owner MICHAEL G MORRISSEY Create Date 09/04/2013
Designer Contractor STEVE WIRTZ CONSTRUCTION
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy 0 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 'SFR/kitchen modification including cabinets and countertops �I
of Work
"debit accY'* j
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----- --- —1
HVAC Contractor Plumbing Contractor AHERN-GROSS INC.
Electric Contractor KOLLMANN ELECTRIC LLC
Fees: Valuation $24,200.00 Plan Approvai $0.00 Permit Fee Paid $177.50 Park Dedication $0.00
Issued By: o/�� Date 09/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1511850000
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 N6334 TOWER ROAD FOND DU LAC WI 54937 - 7321 Telephone Number 920-923-6063
* 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 presertt in buildings see
the Pre-Demolition Environmental Checkiist 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. :
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��Q�Os�ldUs� Oshkosh,WI 54903-1130
�, Phone:(920)236-5050
�'' Fax:(920)236-SO8�F
Building Pe�mit ,A�pplication '�"•`i.�a'��.`"'.°S
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Address ��� �UOI�?-�� c'�t" ����4��i, �iU� .��Q� j
Applicant Owner Contractor Tenant Other(describe)
Owner/ N�e �I ��D rl�l Phone �a��a31 � `�33�
Tenant
Address ��j,aj C� ��Ji�(,INYI C�� ��l�D�i1 U/� Email :
Contractor Company Name S�-�r ]e (.�t Vf��U.�,�C�L� T-0"}G• Phone( RaD) Ra 3 �(p Q6.3
Contact � �'-(�1�� ��� ��2 Email cs�t' (� S1LG�GUrV�2_Col'►?
Address N(�.��� T�,r,��e,r Ro�.c.al �a n�1 c,[�,, l a� l.z,�I ���1�37
State Credential#'s c�5� 3,;[a , 8a�b N3 ,
llwclling Contractor Quelifier# T)vvelling Contractor# Building Contractor ltegistration#
Achitect/ Coznpan�Name Phone
DesEgner
Contact Email
Address
_ Permit Type Resid�ential Single Famil �tesidenrial Duplex Comrnercial Multifamily Yndusrrial
Catagory New Addition Alteration
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Mec6anical Separate permits will be obtained for the following: '
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pe�� Electrical by ko((w�ah� �c���plumbiung by_/�1�,tYV1 -GTUaS � Heah�r►g by
Vslue of�0�1 $ 2,L,�� w� .� ('�'�ue for materials&labor is rcq.to ensure conaieten�e in permit fces for all applic�ts-)
Pa�ment by: Check # . Cash Pernnit�'ee Account
I certify the above ir,fnrmat�on is complete and eccurare. Any deviations froni the above submitted information may requ�re additiorra!permiu
to be obrairred. I acknowledge arrd agree to rhese terms.
Name: ,��2.C.c-Q (�C,:,�'F� (]Pkasc print) T�ate: C(��-/�I J'
Signature: r.- 'Li� �
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