HomeMy WebLinkAbout0158951-Building � CITY OF OSHKOSH No 158951
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1135 POWERS ST Owner CATHERINE M SMITH Create Date 12/02/2013
Designer Contractor PACKER VALLEY BUILDERS, INC
Inspector John Zarate
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze j
Zoning R-1 _ 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 0 Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature SFR/Adding a bathroom*to include a sink toilet and shower. Seperate permits will be required for plumbing and electric work. '
of Work ,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,600.00 Pian Approval $50.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �� � Date 12/03/2013 Finai/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1109550000
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 cure any necessary approvals before starting such activity.
I have r ad and nd stand fore mentioned'nformation.
Signatu Date 10� ���.3
AgenUOwner
Address 2277 CLAIRVILLE ROAD _ OSHKOSH____WI 54904 - 0000 Telephone Number 920-232-7620
* 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.