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: