HomeMy WebLinkAbout0158474-Building � CITY OF OSHKOSH No 158474
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 729 FREDERICK ST Owner STAR PROPERTIES OF OSHKOSH 2 LLC Create Oate 10/24/2013
Designer Contractor CUSTOM HOME SOLUTIONS LLC
Inspector John Zarate
Category * 140-Interior Remodeling_ Plan
Type � Building � Sign � Canopy 0 Fence � Raze _�
Zoning R-2PD 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
0 Concrete Block � Post � Treated Wood _
Occupancy Permit Not Required Occupancy Fee _ $0.00 Fiood Plain Height Permit
Park Dedication __ #Dwelling Units 0 #Structures 0
Use/Nature SFR/Remodeling the kitchen,installing new insulation and drywall where walls are opened in addition to new cabinets and flooring. Alsoi
of Work installing new posts for the front porch and new decking,and sealing off the pocket doors leading to the living room(another entrance will
Iremain).
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HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval _$0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �A—�'� Date 10/25/2013 Final/O.P. 00/00/0000
� Permit Voided Parcel Id# 1004940000
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 n dersta e afore mentioned information.
Signature Date (' '
AgenUOwner
Address 50 FOX FIRE DR OSHKOSH WI 54904 - 6596 Telephone Number (920)379-8739
* 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
� l�l�y �f OS���SlG Oshkosh,WI 54903-1130
� Phone: (920)236-5050
F�:(920)236-5084
Building Permit Application �'�'•ci.oshkosh.wi.us
Pro�e�t
Address � C
Applicant Owner '� ontra Tenant Other(describe)
Owner/ Name S V` �� `�Q) Phone a�� ^ y �p��
Tenant U
Address � Email l °�g ` �3 7 5
Contractor Company Name�' U ��—D�T�1��oc a I���SPhone Q( �^ 3,� ^� 3 q
Contact W, Syv��� Email
Address o�y'F��� '
State Gedential#'s , ,
Dwelling Contractor Qualifier# Dw Ihng Contractor# Buildin�Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Emai l
Address �
Permit Type esidential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � § ' �
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ �� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
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Payment by: Check # Cash Permit Fee Account :
I certify the a6ove infornzation is co»aplete and accurate. Any deviations from the above submitted information may reguir•e additional permits
to be obtained. 1 acknowledge and agree to these terms.
Narrle: (Please print) Date:
Signature: