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HomeMy WebLinkAbout2013-Building � CITY OF OSHKOSH No 158440 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1015 SCHOOL AVE Owner MARK A/JULIE A THUROW Create Date 10/24/2013 Designer Contractor REBATH OF CENTRAL WISCONSIN Inspector John Zarate Category * 140-Interior Remodeling Plan Type � Building � Sign __ � Canopy 0 Fence � Raze Zoning R-2 Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection -- g Finished/Living _ Sq.Ft. Bedrooms Stories Canopies Garage __ Sq.Ft. Baths Signs Foundation � Poured Concrete � Floating Slab 0 Pier � Other � Concrete Block � Post 0 Treated Wood Occupancy Permit _ Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature SFR/remodeling bathroom to include pulling existing tub out and replacing with new acrylic tub uniU all work will meet state and local of Work codes , i I I — --- --- ---- -- -- HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $5,100.00 Plan Approvai $0.00 Permit Fee Paid $72.00 Park Dedication $0.00 Issued By: � Date 10/24/2013 Final/O.P. 00l00/0000 ❑ Permit Voided ' Parcel Id#0204440000 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 230 N KOELLER ST _ OSHKOSH WI 54902 - 4109 Telephone Number (920)303-5797 * 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. < <.:Oct 24 2013 12: 31PM:: ,.: REBATH CENTRAL WI 9203035935. . � , A. ;.; �. : � � .No, 4675 . �.:P, 1/6 �.:: ... � ... . . . . - : � . : � � : . . .,. . .. � ' � .... . ... . .. .. .. ... . . . � .. . . . � : . . .. .... ..:... . � . . . . . . � . . � .,.�_. �. .., . , . . .:,; ...., . .. ': � 'P O Box 1130 � r." • . „ _ . : . . . ' . .'.Oshkosh,WI.54903-1130 ` l..Lt�/ � OS/"L./COS� .. Phone:(9Z0)236-5050 � � J� �: : , . . . . . . . �.. � . �' �' . ' .' . .. . . : . . . . ..�'ax:(9�0)Z3Cr508�. . }: � . . _ . . . Buildxng Per�.�App�ication � � :,�:�.os��osh.w�us. -�; . Project�": �_;...�::_:. ��I� Sc�i�ol �� �i��l � _.� �A;�diresg: � � Applicant` � Owner �Contractor Tenant Other.(describe)_ __ � . �%ner_1` :. Name . Q.,I���1.�� 'Phone�' 2�� - �0��'" �'X"epai�.t� � Address � � �S���21�� `7�",�� �mail � Coretractor � � � ' n n/ Compariy Name� 4( � ti1 . `., ,d �` ��. .� Phone. `1�iO_ �'��� -�, ���, � Contact ��..� � . . � .Emaxi� l�'► °�� . 1 ,i I"fY .+l-('G(Yl � A ddress C��O �I r �M I (e Y v?��'� T l l,��'1 .Q�`�'1 �I �O�. State Credential#'s--��(4� � , �a-���a 9 __, „ : , DWClling Conhactor Qu�lifier# Dwelling Con�actor# Build;ng Contractor Reg;str:uion�l � Achitect/ Com Name � 1�Y1'�� ��Ll,`f1G� Phone . . � Desia�ner �°y ��n � � �_ . . - ��� � �I�'��x'T�' .. . . � Contact . Email . Address � � . : . . . � Peir.mit�'y.pe.: Residenzial Sii�fe.Family �. .Residential Duplex �. . Cocnmercial .� Multifamily Industria! :Catanory New� � t#d�iitior� ' Alteration . ��roj.eii�:'� . . . ��:�,,,.�.• , IYescrEptioA'' , ;. �i5 �� -�iS�t ��X `i'u.� . . . , . � . . . . rn ��` 1Q'� � .. , .. � .. . . .,��..: _ .. .. .. ._ �..:. . . � � . `' � . . ._F:..... . . , .. , . . •• ...-• ..• .� , . . . ....--•- -- - . . .. _ .. . : 16ieclianical�' Separate perrriifs will be ontained fur ti�e followitig:� �- � - --� . � . � . Permfts. :�LS�as�:� � . :.F'l�ibing by Heating by. ;-.. ....... ... �... ... --- -, . . �� . -Va.lue=o�E�ob:..$ �j(7U. �.�:.�: .. . . . . � � . , (Valuo formatcrisls�c labor is req_to ensure consiste rmit iees for ali appucants.). �� . :; . �. �' Payane�t by: .� ;�: `�Check #� Cash � ....1?ermit Fee Account . ', I cert�tT�e above informntion Ps con;ple[e mrd accrvare:.A.ry rlevr'adons from'the obove subraittuf mforrna�on may reguire addi[;nnaf permiu , lo:be obtained l acknow]adge:arid q�nee to tirese�ernir: . - Namd` �C<S� . (Please print), �, . 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