HomeMy WebLinkAbout0159045-Building � CITY OF OSHKOSH No 159045
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2250 MEADOWBROOK CT#A Owner DARLEEN M WETTERAU Create Date 12/12/2013
Designer Contractor TOM WILLIAMS BUILDING CONTRACTOR
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building � Sign � Canopy � Fence � Raze _ '
Zoning R-3 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garege Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block 0 Post 0 Treated Wood —
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature 'SFR/remodeling bathroom to include new flooring,cabinets and new plumbing fixtures/all work will meet state and local codes/no walis
of Work �Ibeing added or removed/separate permits for electric and plumbing I,
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,i
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: �,� Date 12/12/2013 FinaUO.P._00/00/0000
� Permit Voided i Parcel Id#0620410000
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 derstand the a re men oned information.
Signature �J�LI�-(�1_l�� Date �`1 —� ,l�
AgenUOwner
Address 501 IOWA STREET OSHKOSH WI 54902 - 5933 Telephone Number 233-7817
* 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 speci�ed 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 �
� �lLy �f OS���slG Oshkosh,WI 54903-1130
� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application ����.oshkosh.W�.us
Project
Address �
Applicant Owner ontractor Tenant Other(describe)
T nant/ Name �L�rr���.�f�/PL�I(/E Phone 9���.2������
Address �,2,�2�'��}�(�fj�/C �, Qif/y� Email
Contractor Company Name �� �j�" Mf �� CoNr . �/�1G, Phone �����9'�v��/
Contact �/� ��/LL/�/IJ.J' Email f�J�//�Z� h�C� /�g t'
Address �(/� ��/./�i9 (j'� �f/y�,1'/y �� ����i�
State Credential#'s ,��� , ,Z 7��1"� ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �dfd� �/9�i�>/�1 � /�f�/�IEldlllrt�'. l��?J/?y l' ,�
Description ��—
/�'G�2 . ,c�'.�iy,9t�fr ��� ��,�iilJl_1��r�,�i��'f
Mechanical Separate permits will be obtained for the following:
Permits Electrical by ����,(',�G Plumbing by��jPrZt�/�/T��_ Heating by /Up/1/,�
Value of Job �y �
$��Q�// (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 complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name: !, ,�d1,f (Please print) DBte:
Signature: