HomeMy WebLinkAbout0158889-Building (insulate attic & crawl space) � CITY OF OSHKOSH No 158889
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 402 W 10TH AVE _ Owner DANENE A KIMMEL_ _ Create Date 11/22/2013
Designer Contractor ADVOCAP INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy _ � Fence � Raze _�
Zoning R-2 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
0 Concrete Block � Post � Treated Wood __ ___ ___ _
Occupancy Permit Not Required Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication _ #Dweliing Units 0 #Structures 0
Use/Nature SFR/Installing insulation in the attic and crawlspace. �i,
of Work �, '
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�— ---- ---- - --
HVAC Contractor Plumbing Contrector
Electric Contractor
Fees: Valuation $7,955.89 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: � Date 11/22/2013 Final/O.P. 00/00/0000
� Permit Voided' Parcel Id#0906300000
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 approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address PO BOX 1108 _ FOND DU LAC WI 54936 - 0000_ Telephone Number (920)426-0150
* 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.
City of Oshkosh �� �
Inspection Services Division �
P 0 Box I 130 �
Oshkosh,VVI 54903-1130
rnone: (920)236-5050
Fax: (920)236-5084 O���H�KOJ H��
Building Permit Applica
tIOCI oN Tke`�'iar�R
If vou are a contractor parttcipatinQ in the Permit Fee Account System and have adequaie funds check here
i�xou want this processed throuQh your account �
JOBADDRESS i �a (� 1���" /T�I� � a� =��-i%� 5�-
OWNER .j�a�ene Kl"`�Y�� l -
CONTRACTOR AL�OG�P _.=n� �-��
I am the: ❑ Owner UR ■ Contractor NOV 212013 '
USE CATEGORY o�N.A�:�e��E�T o�
�Sinble Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial`D���J��;��yp�C�-ELOPMENT
IVSPECT9C����R�'JC£S DI\"ISION
Work being done:
❑Addition C Deck/Porch/Patio �Driveway/Parking
❑External Remodeling C Fence/Hedge/Kennel ❑Garage/LTtility Structure
❑Handicap Ramp Ci Hot Tub/Spa C Intemal Remodeling
❑ Sign/Canopy/Awning C'Stair/Handrail ❑Stove/Fireplace
G Swimming Pool ❑Wrecking Permit .
�Other w ea�-h e r�za�-►���
Additional information, such as plsin submittal and approval, may be required before issuanc.e. Fliers,
located in the hallway, may ��e referenced to note if any additional information is necessary.
❖ Full description of work being dor.e: 5�e �-�-O.Ch�� �n/��k o'r'd��' :
Anv work ni�t included in this application is not permitted.
Value of the j ob $ `l`15 5.�S� _ (Value for materials and labor is required to ensure consistency in accessing permit fees for all
�licants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
informatron may require additional permits to be obtained. I acknowledge and agree to these terms.
; Name: �n n �'� �ar S�'�
(Please print)
.- , Signature: ��,,,.-. �'1 �?�-_
Date: / � -�0-/ �
3/02
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