HomeMy WebLinkAbout0158828-Building � CITY OF OSHKOSH No 158s2s
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1209 HARNEY AVE Owner CORY T TELLOCK Create Date 11/19/2013
Designer Contractor OWNER
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms __ Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
0 Concrete Block � Post 0 Treated Wood '
Occupancy Permit __ Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature SFR\Adding 1 room, 1 bath,and a 1/2 bath to the second floor"2 x 8 floor joists 16"o.c.spanning 14'.Adding a micro-lam to support
of Work roof load. Engineering to be provided before rough-in.All work to be according to current code requirements.Assistance provided by i
Leach Bros. i
i
I
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HVAC Contractor Plumbing Contractor HOMEOWNER
Electric Contractor HOMEOWNER
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: _ !�� Date 11/19/2013 FinaUO.P. 00/00/0000
� Permit Voided� Parcel Id#0804560000
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 w'ithin an ea�5ement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure an icessary.apProvals'bef re starting such activity.
I have read and und and the ,[e-me�"� fom�tion. / �
Signature � --3 �G�� � ���" �
Date "
�''� AgenUOwner
Address ___ Oshkosh WI 54901 - 0000 Telephone Number
* 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.