HomeMy WebLinkAbout0158943-Building � CITY OF OSHKOSH No 158943
� :
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1726 MINNESOTA ST Owner TODD A/MONICA C DOEHRMANN Create Date 12/02/2013
Designer Contractor OWNER '
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building 0 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
� 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/Removing wall coverings down to studs in upstairs bedroom. Installing insulation,fireblocking and headers(if needed)8 drywall.
of Work hardwired smoke/CO detector will be installed in the bedroom. Installing insulation and drywall for interior stairvvay. Permit also
includes work that has been completed including: removing and rebuilding the stairs to the existing back door landing, installing a new ,
36"door on back of house in existing window opening and installing new window in old door opening(2x6 headers installed). All i�
construction shall comply with State and local codes. '
HVAC Contractor Plumbing Contractor
Electric Contractor HOMEOWNER
Fees: Valuation $1, Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: Date 12/02/2013 Final/O.P. 00/00/0000
� ❑ Permit Voided' Parcel Id# 1403800000 :
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 under afore mentioned information. l
Signatur� �� - Date /D� a'�'
�
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 buiidings 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.
P O Box 1130
� �lty �f OS/���sl� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ��ci.oshkosh.W�.us
Project �� � I M � �S .
Address �p � � n�s����� v�'
Applicant Owner Contractor Tenant Other(describe)
w �r% Name�"'O�C�1 ��('m G.n. r� Phone�:�c� - yl a -g���
Tenant
Address���� M "� �'� ��' Email y do�h r ,l
Contractor Company Name____i'YI�/c5�'t— Phone �4�,� ��;
Contact Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Com an Name
Designer p y mT�'�� Phone
Contact Email
Address
Permit Type esidential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � � � �oi3 �o�'�0
Description �d ''
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Mec6anical Separate permits will be obtained for the following: 5rnv �-
Permits Electrical by Plumbing by Heating by � °����'�
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Value of Job Q� W��'e- '
$ �I /JVV (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # I$7 b Cash Permit Fee Account ,
1 certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: Yr1 (Please print) Date: 'O��� �
�
Signature: