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� CITY OF OSHKOSH No 158399 �
;
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 557 OAK ST _ Create Date 10/23/2013 ��'��3-��
Project Basement Remodel _ _ _ _ Project Number 20130572 �
�
Owner LYN D ROBINSON Pian
Contractor MARK FASEL CUSTOM BUILT HOMES LLC
Inspector Nicole Krahn
Designer
Category 140-Interior Remodeling Type of Plan
;
Zoning R-5PD
Square Footage
Major Occ Const Class
Fire Protection 0 Sprinkled � Unsprinkled
1 Sprinkter Design
. Occupancy Permit Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
❑ Projection ' Canopies Signs
Use/Nature
of Work
�OMM/Basement remodel for unit#557. Adding perimeter walis to create a family room in the basement. Ceiling will remain open. Existing egress ;
iiindow. All construction shall comply with State and local codes.
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval _ $0.00 Permit Fee Paid $84.96 Park Dedication $0.00
Issued By: Date 10/23/2013 Final/O.P. 00/00/0000
� Permit Voided I� Parcel Id# 1102990100
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
AgenbOwner
Address 2274 WILLOW WAY DR OSHKOSH WI 54904 - 7771 Telephone Number (920)585-3333
* 140-Interior Remodefing 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 othervvise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.