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Home My WebLink About0158835-Building � CITY OF OSHKOSH No 158835 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD : ON THE WATER Job Address 2657 W 9TH AVE Owner STANLEY MACK II/MARGARET LEIBFRIED Create Date 11/20/2013 Designer Contractor JJ GEFFERS INC Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence � Raze � Zoning R-3PD _ 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 � Other � Concrete Block � Post � Treated Wood -- Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 UselNature ICondo/Finish off 8'x 9'bathroom in the basement to include a new showe,vanity and toilet. Plaster walls&ceiling. Tile floors. Install' of Work bathroom fan. � HVAC Contractor Plumbing Contractor C SWEETING PLUMBING LLC Electric Contractor HULLAR ELECTRIC LLC Fees: Valuation $7,000.00 Pian Approval $0.00 Pertnit Fee Paid $79.00 Park Dedication $0.00 Issued By: Date 11/20/2013 Final/O.P. 00/00/0000 ❑ Permit Voided' Parcel Id# 1311970114 In the performance of this work i agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce ease nt restrictions of which it is not a party, if you perform the work described in this permit application within an easement e City strongly urges the permit applicant to contact the easement holder(s)and to secure any necessary approvals ore starting such activity. I have read and rstand th afo e entio information. Signature Date 1l'�d-- f� AgenUOwner Address 3965 WESTERN OSHKOSH WI 54901 - 9707 Telephone Number 231-2637 * 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. f P O BOX 1130 Cl�� f OS rrp�OS!L Oshkosh,WI 54903-1130 � ��' Phone: (920)236-5050 ' Fax: (920)236-5084 Building Permit Application WwW.".°Shk°Sh.W'.us Project / fh Address �6� � �C�,$f � Applicant ❑ Owner C�ontractor 0 Tenant 0 Other(describe) Owner/ Name ��'4►� _��ac� � ��4�,�.� �P.6�� .1-7/9'oZSo2� Tenant Address��,.$�� s,f j '�� Email Contractor Company Name �� (�r5 �,��- Phone 3�5' '?/S/ Contact J.z,S'an. ('� ��rS Email Address StateCredential#'s ZSS.Z�'.Sy ��9/y,S , ,?��/yS Dw— e�ling'Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address Permit Type �'ffesidential Single Family ❑ Residential Duplex ❑ Commercial ❑ Multifamily ❑ Industrial Catagory ❑ New ❑ Addition �lteration Project �` �y � Ti%]i�t.l d �� d �1'��q.�'�i oo�-�i /� •�t s�/nNh � Description —��awe� !��,f�.. �Ai�J�' - n TT " !/"C.S�'�. Gc>a.�l.s' 7� ��i '/k �- ,�/e �/p/ Mechanical Separate pertnits will be obtained for the following: �°c '"� _!�► ",' � � Permits �lectrical by��, �lumbing by �. S � ,� ❑ Heating by .� Value Of.TOb Value for materials&labor is re to ensure consistenc in accessin ermit fees for all a licants. k $ �Odo _ �. ( 4• Y g P PP � ) Payment by: ❑ Check # ❑ Cash L�1'�ermit Fee Account I certify the above information is complete and accurate. Any deviations frons the above submitted information mcry rega�ire additional permits to be obtained. I aclmowledge and agree to these terms. Name: ��QS dr._ C�¢'��2�s (Please print) Date:� ��O - �,3 � Si�nature: