HomeMy WebLinkAbout0159020-Building � CITY OF OSHKOSH No 159020
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1545 MARICOPA DR Owner GREGORY J/LISA L MCLAUGHLIN Create Date 12/09/2013
" Designer Contractor OWNER
Inspector Nicole Krahn
Category * 140-Interior Remodeling _ Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
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 � Post 0 Treated Wood _
Occupancy Permit _ Occupancy Fee ___ $0.00 Flood Plain Height Permit
Park Dedication __ #Dwelling Units 0 #Structures 0
Use/Nature SFR/Removing non-loadbearing wall that separates the upstairs bathrooms to create a larger single bathroom area. Constructing new
of Work interior non-loadbearing walls to create a new bathroom in the existing master bedroom. Installing new cabinetry and finished surfaces.
Not gutting the exterior walls. All construction shall comply with State and local codes. Separate elec&plmg permits will be obtained.
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HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $1 00 Plan Approval _ $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: Date 12/09/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1319330000
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 u de Q�the afor ' ed inf n.
Signature �
Date Q
t/Owner
Address _Os kosh 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. ,
� P O Box 1130
C'lty �f OS���S� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application �W���.oshkosh.wi.�s
rro�e�t ,
Address � 5 �' r.J ^t � �> GL �`•
Applicant Owner Contractor Tenant Other(describe)
. Owner/ Name �1 S Q � ����"��� ��C���--%��'l �t Vl Phone (�;S l --`'1 I 3 �
Tenant
Address � `��J Cu�'t C ` � « �-��- Email (��t"3��`� ��5`���b �,c2<�/. ��
Contractor Company Name Phone
Contact Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Single Family ; Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Description �`��a,'V\C�C��� � �(1 C� 1`il [�.� �� l�c.l��'-1 � `.��CC;i 1�� � I C�C c- �rj�.'�-�-�
Mechanical Separate permits will be obtained for the following:
Permits Electrical by �.,-i�cZ.{ItC'���lumbing by Heating by
—�
Value of Job �
$ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is cor�splete and accurate. Any deviations Jrom the above submitted informotion may requi�•e additional permits
to be obtained. I acknowledge and agree to these terms.
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Name: �,�. � � ��., '1� ' (Please print) DBte: IZ/7/��
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Signature: LL C1 � �.L - :��