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Home My WebLink About0158927-Building (bathroom alterations) 4 � CITY OF OSHKOSH No 158927 ; OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD � ON THE WATER Job Address 836 W 11TH AVE Owner BRADLEY D HOUNSELL Create Date 11/29/2013 ` Designer Contractor REBATH OF CENTRAL WISCONSIN � Inspector John Zarate � € Category * 140-Interior Remodeling Plan Type � Building � Si n ! g 0 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 0 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 Use/Nature SFR/remove old tub for new acyrlic tub and any necessary drywall repairs of Work debit acct�* — - — HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $3,856.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00 Issued By: J�� Date 11/29/2013 Final/O.P. 00/00/0000 ❑ Permit Voided� Parcel Id# 1303030000 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 230 N KOELLER ST OSHKOSH WI 54902 -4109 Tetephone Number (920)303-5797 * 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. . ,.:Nov 27, 2013 3: 57PM:��. . REBATH CENTRAL WI 9203035935 . . . • No. 4194..; :P, 1/2� . :� . . � ,. . . , . . . . , � � � . .. . .. � . . . ... . _ . . . . . . ..:.,.. .. . . . . . . . ,.. � � . . _ . . . �'. .:. . .;. . � "P Q Box i 130 '! . .. � �%+ /�� (� . ,. �: '. . . . . Oshkosh,W[.54903-1130 �, . t�'�..��.OSlL/GOS/L . � . . .. •Phone:.(9?0)236-5050 • . .� • . . . . . ., � Fax:(920)236-5084 . � �'9vrv.ci.oshkosh.wi.us � . � , : : Buildirig Perx�uit App�icatzo�a: . . - � . � ,Pfoject" v�� ' . • . � �a;�.� . _ 0 . �es� l l�1 �/C'� : Applicant Owner �, �Contractor Tenant �Other(c�escribe) � � Owner.��. .. Nan�V' (JIL� t�'CV��1��1. � Phorie �'�� " ��o '�:Temain.t' • � Address ��D....�,5�" I�.� ��, ��Z Email � Co,utractor „ � ,�.1,_ (' �ompariy NarA�e��v� ��"�'�/1�%� '•.\ ��11��1 S Ptiorac � � � -.�1��''� Contact. l�:.17_ Email � L, N'�� .(�'1 rl �n:/' �/Yl ". Address_�1�� Q�� Y V�''1�P-C [-��'1��.�'1'1 �� `�'I n,�. _ State eredenc.ial,#'s`�o7r�d� � ,1a��i�91 . , . � . . . Dwelling Contractoc Qualifier# Awtqin�Coatractor# Building Contract�,r Rc�t;on# Aclutect/ ` Cotnpany Name �'I� f f"I(�(Y',[»„i5 <��L(,�� Phone � Desianer . . . - ��l� �. '��'i`1-� . . , contact Emait � � . Address � �. . . � . Pe�oaif Ty�e.., .Residential�Singte Family ; .. Residential Duplex �. Commercial � Multifamily Industrial � ' .��:Catapory New : Addition �� Alteration • ,;�tS�je��;:�. . . . _ �� :Desc�ptiou"� .. .. - ,.::..:;.::.�..: -, . . . . :..... . °�! �5 � � �-c�n �1- . � . � ..,. _.. - . � � , . . I � S �(t � . .ir i C. � � � . -{ _ . . .... . _ .... _ . . ..___..I:. : � I .. .. . ...... . � I � ;.. . ,: � I . . . . _ ....-� � �--- -- � . . � . � � . . 1Vlec�anical �Separate perm;its will bc qbtaincd for thc foilovving: : � . ,. Permits. . ;:��--- .. .:.: . . .:.,... ._., . „ � . ..-. :- ca.T;Ti��.`.: . ... pEumbing by �� Heating by . . . _....... ......__.._. .. . . . .. . � ..., ,.....:,�.,,...--- _•. : . ..:.:.. _ .. � .. . _.�...... ..... . . ... .. .•�T�S1ue Of�O1T... 3�S�P ;.. (Value for materials�t labor is req.ro ensaue cons�ste .. ._ _.ermic Caes for all applicanu.) ' . - __., _ .$ �..� �:`.. . Fayment:by: `, Check.#: Cash ' Permit Fee�Account 'I certify7he�above irformauon.'s coTnplele and accw�au:�lrry devrarionsfro�n[he abave svb�e�lnformetion may reqr�ire additionol perrnitr . . . • . ,�0.6 'b[au:ed:l acb►nwl e mid agree�a.lhese ternis. � ., . , . .:. . . .. I�Tazne: �� . . � ,:. , ... ` .. (P►baseP�c) , , Date:�. :�:�� Z�" .l � : Si�iature: . . . . - ..