HomeMy WebLinkAbout0158575-Building E
. � CITY OF OSHKOSH No 158575 =
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 815 MOUNT VERNON ST Owner AGNES M HABECK Create Date 11/01/2013
Designer Contractor GEFFERS REMODELING
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy 0 Fence ____ � Raze I
Zoning R-5 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 � Floating Slab � 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\Bath remodel according to attached description '
of Work I
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HVAC Contractor Plumbing Contractor ABEL PLUMBING
Electric Contractor DENNIS P BRENNAN
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: �� -- -- Date 11/01/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel id# 1002040000 4
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 d u nd the afore men' d information.
Signature � Date
AgenUOwner
Address 2640 WESTMOOR RD OSHKOSH WI 54904 - 0000 Telephone Number 235-1422
* 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.
Ciiy of Oshkash �
Inspectio�n Sexvices Division �
P O Box 1130 �
Osblcosb,WI549Q3-I130`
Phone:(920)236-SO50
� Fa�(92�)236-5084 ����E`��"
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