HomeMy WebLinkAbout0157848-Building � CITY OF OSHKOSH No 157848
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 347 W 15TH AVE Owner JEROME R OECHSNER Create Date 09/17/2013
Designer Contractor PEAK TO PLATE BUILDERS LLC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze
2oning R-2 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 0 Floating Slab 0 Pier 0 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/interior remodeling without a permit*"LATE FEE ADDED"'
of Work Remodel kitchen,expand bathroom, new windows,flooring, new e�erior doors, rear deck. I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,000.00 Plan Approval $0.00 Permit Fee Paid $193.00 Park Dedication $0.00
Issued By: ����� - Date 09/20/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id#0904630000
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 u d the afore mentioned information.
Signature Date ��� ��
AgenUOwner
Address 16 W NEW YORK AVE OSHKOSH WI 54901 - Telephone Number 920-312-3465
* 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.
P O Box 1130
� �,LG y �f OS(,;��S!� Oshkosh,WI 54903-1130
� �L Phone:(920)236-5050
Faac:(920)236-5084
Building Permit Application ����.oshkosh.w�.us :
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �v(C O� f' � Phone ��` Z 7S� ' ��cf
Tenant K
Address � l 7 ►"' l � �V�' Email
Contractor Company Name �CGI�G Tt ��G.�� l�� Phone (�' - 3 � Z - 3�G�
Contact .�P�PK�r�� ,�(�ti s�y` Email �c� `t �
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Address �„ f� �c"W yl��� �
State Credential#'s �«��� , �l L��' � ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# '
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Sin le Residential Duplex Commercial Multifamily Industrial
Catagory New Addition ion
Project ���//A��
Description �, �
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by :
Value of Job '
$ U� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # �S?� Cash Permit Fee Account
I ceriify the bove information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be bt " e I acknowledge and agree to these terms.
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Name: �Cl�'/i'4�, �� (Please print) Date: f
Signature: