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HomeMy WebLinkAbout2013-Building (misc. interior & exterior) � CITY OF OSHKOSH No 158784 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 633 W 4TH AVE Owner JEFFREY DORO Create Date 11/15/2013 Designer Contractor JEFFREY DORO Inspector Nicole Krahn Category * 140-Interior Remodeling Pian Type � Building � Sign � Canopy � Fence � Raze �� Zoning _ 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 0 Pier � 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/Installing new siding,windows,and doors. Gutting out the kitchen walls. One of the kitchen walls into the living room may have i of Work he opening size increased-additional header may be required. Owner to provide any sizing information that would be needed for ' structural alterations. Remaining rooms will have plaster removed and will be drywalled over lathe. New kitchen cabinets&flooring ,hroughout. Install insulation. Roof repair to hip on front porch. All construction shall comply with State and local codes. ' ` HVAC Contractor Plumbing Contractor UNKNOWN Electric Contractor UNKNOWN???? Fees: Valuation $15,000.00 Plan Approval $0.00 Permit Fee Paid $130.00 Park Dedication $0.00 Issued By: Date 11/15/2013 Final/O.P. 00/00/0000 — i ❑ Permit Voided' Parcel Id#0602960101 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 ap ovals before starting such activity. I have read an d st e afore menti ned information. /' Signature r Date /l��j^ � Agent/Owner Address 599 T T ROAD 21 OMRO __ _WI 54963 - 9416 Telephone Number (920)685-2366 * 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. (�l�a Z°thb �o� P O Box 1130 � l..lGy Of Os���s� Oshkosh,WI 54903-1130 � Phone:(920)236-5050 Fax:(920)236-5084 Building Permit Application ����.oshkosh.W�.�s Project ��� � ,!�� �� ^ `_ ��` Address Lf ���� �'� Applicant Owner � Contractor Tenant Other(describe) . Owner/ Name � cs c�o Phone 9�c �8�-a.��� Tenant Address ,������'�/'� .�• v�/ �.O!/D� . �c1= Email `ef!"� , g Contractor Company Name Phone Contact Email Address State Credential#'s %�j���I� , � �,:��%�j , Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address Permit Ty esidential Sin le Fami Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration ` Project �1G�►nc - Is���dad�S . �t�cS. d�1.fL�1A.�� '�(`dxn �/�L°� �}�� � � Description . � — �� �1 e�. � � � rl— T • • �� Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job �— $_�c7_� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # Cash Permit Fee Account I certify the above information is conaplete and accm�ate. Any deviations from the above submitted information may require additional permits to be obtai ed. I ac ledge and agree to these terms. Narrle: c.'71�Q (Please print) Date: / Signature: