HomeMy WebLinkAbout0158579-Building (kitchen remodel) � CITY OF OSHKOSH No 158579
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1528 BOWEN ST Owner MARILYN C LIVINGSTON Create Date 11/04/2013
Designer Contractor READY BUILDERS INC
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 _ 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 � Pier � Other
� Concrete Block � Post � Treated Wood _
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
UselNature SFR/remodeling kitchen to include replacing cabinets and countertops/all work will meet state and local codes/taken out soffit above '
of Work 'kitchen/no structural work involved '
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,700.00 Plan Approval $0.00 PermitFee Paid $79.00 Park Dedication $0.00
Issued By: �( � Date 11/04/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1511840000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to s c any necessary approvals before starting such activity.
I have read and r afor mentioned information.
Signature r �-P Date /�
AgenUOwner
Address E2734 HOB O RD WAUPACA WI 54981 - 9426 Telephone Number 715-258-5688,home
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not perFormed within two business days from the time the project is ready.
P O Box 1130
� l..lty �f OSlL�OSlG Oshkosh,WI54903-1130
� Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application W����.oshkosh.w�.�s
Projecr
Address / �v2`$ �oGt�!y ��" �
Applicant Owner Cont Tenant �ther(describe)
Owner/ Name � � r � � G' Dl7 Phone
Tenant
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Contractor Company Name ' i�G��i'/ �c-� /� �� s Phone L �
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Contact C ^ � 'Z`' Email
Address �p2- ��i' � �,�j'p�. ,��
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Emai 1
Address
Permit Type esi ential Sin le Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition lteration
Project Q� � � _�
Description
Mechanical Separate permits will be obtained fo the following: �
Permits Electrical by �u - �PL-Plumbing by S �' 7� � � ating by
Value of Job $ (� ?�B
� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # �fJ�Q Cash Permit Fee Account
I certi t above information is complete and accurate. Any deviations fro�n the above submitted information may require additional permits
to be o t ed. ck wledge and agree to these terms.
Name: / '��'� �L° (Please print) Date: /��`�`��j
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Signature: � � � '�