HomeMy WebLinkAbout0112675 B
e
OSHKOSH
ON THE WATER
Job Address 913 W SOUTH PARKAVE
CITY OF OSHKOSH
No
112675
BUILDING PERMIT - APPLICATION AND RECORD
Owner
DENNIS G O'DONNELL
Create Date
11/04/2004
Designer
Contractor
OWNER
Category
111 - Single Family Addition
Plan
Type
18 Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
Size
Unfinished/Basement
0 Sq.Ft.
~ Sq. Ft.
Rooms 0 Height 0 Ft.
Bedrooms 0 Stories
Baths 0
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
8 Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Not Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
0
# Structures
0
SFR/ LATE PERMIT/ Constructed a 8'x14' addition to extend the kitchen area and a 6'x8' rear deck. Installed new siding, windows and
cabinetry in the kitchen. This permit does not include electrical or plumbing work. NOTE: Stephany Cline applied for the permit as Power of
Attorney.
Use/Nature
of Work
HVAC Contractor
Plumbing Contractor
ADAMS PLUMBING
Electric Contractor
UNKNOWN????
Fees: Valuation
$7,500.00
Plan Approval
$0.00 Permit Fee Paid
$62.00 Park Dedication
$0.00
Issued By:
Date 02/14/2005
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1306910000
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.
Signature
Date
Address
913 W SOUTH PARK AVE
Agent/Owner
OSHKOSH
WI 54902 - 6367 Telephone Number
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.
"
General Power of Attorney
(with Durable Provision)
............................................................................................................................................................
APARTMENT - CONDOMINIUM - HOUSE
NOTICE: THIS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT
FACTS. THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM YOU DESIGNATE (YOUR "AGENT")
BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE DISPOSE OF
ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. YOU MAY SPECIFY THAT
THESE POWERS WILL EXIST EVEN AFTER YOU BECOME DISABLED, INCAPACITATED OR INCOMPETENT. THIS DOCUMENT
DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS FOR YOU. IFTHERE IS ANYTHING
ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. YOU MAY
REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO.
TO ALL PERSOWNS be it known that,.1 Wë.~ N \ ~ G , c:> DO N NELL
of EJ¡~ ,50UTlt ¡rtKIé AVL ð5KO'J1-f Wf5. ~1~ðf.
~ÿÇgþ~9~~qinci~alí df~Fe?y make a~~ranw.en§)a~2¡r ofC6TJNTY 1-<.1) A._\::~.LYI.I:?, w IS
and do thereupon constitute and appoint said individual as my attorney-in-fact/agent. ... s--,\ \ \<-\
,
If my Agent is unable to serve for any reason, I designate
of
,as my successor Agent.
My attorney-in-fact/agent shall act in my name, place and stead in any way which I myself could do, if I were personally present,
with respect to the following matters, to the extent that I am permitted by law to act through an agent:
(NOTICE: The Principal must write his or her initials in the corresponding blank space of a box below with respect to each of the
subdivisions (A) through (0) below for which the Principal wants to give the agent authority. If the blank space within a box for
any particular subdivision is NOT initialed, NO AUTHORITY WILL BE GRANTED for matters that are included in that subdivision.
Cross out each power withheld.)
[DaD]
[ DDN ]
[ ]
[DDD]
[ ]
[J)o1) ]
[ ]
[þð./) ]
[ ]
[ ]
[Dol)]
[ ]
(A)
(B)
(C)
(D)
(E)
(F)
(G)
Real estate transactions
Tangible personal property transactions
Bond, share and commodity transactions
Banking transactions
Business operating transactions
Insurance transactions
Gifts to charities and individuals other than Attorney-in-Fact/Agent
(If trust distributions are involved or tax consequences are anticipated,
consult an attorney.)
Claims and litigation
Personal relationships and affairs
Benefits from military service
Records, reports and statements
Full and unqualified authority to my attorney-in-fact/agent to delegate any or all of the
foregoing powers to any person or persons whom my attorney-in-fact/agent shall select
Access to safe deposit box(es)
To authorize medical and surgical procedures
All other matters
(H)
(I)
(J)
(K)
(L)
(M)
(N)
(0)
Page'
~2004.Socr""Med;a.llC
lF20S.R",.O~O4
Durable Provision:
["D6.D ] (P) If the blank Srace in the block to the left is initialed by the Principal, this power of
attorney shal not be affected by the subsequent disabìlìty or incompetence of the
Grantor.
Other Terms:
My attorney-in-fact/agent hereby accepts this appointment subject to its terms and agrees to act and perform in said fiduciary
capacity consistent with my best interests as he/she in his/her best discretion deems advisable, and I affirm and ratify all acts
so undertaken.
TO INDUCE ANY THIRD PARTY TO ACT HEREUNDER, I HEREBY AGREE THAT ANY THIRD PARTY RECEIVING A DULY
EXECUTED COpy OR FACSIMILE OF THIS INSTRUMENT MAY ACT HEREUNDER, AND THAT REVOCATION OR TERMINATION
HEREOF SHALL BE INEFFECTIVE AS TO SUCH THIRD PARTY UNLESS AND UNTIL ACTUAL NOTICE OR KNOWLEDGE OF SUCH
REVOCATION OR TERMINATION SHALL HAVE BEEN RECEIVED BY SUCH THIRD PARTY, AND I FOR MYSELF AND FOR MY
HEIRS, EXECUTORS, LEGAL REPRESENTATIVES AND ASSIGNS, HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS ANY
SUCH THIRD PARTY FROM AND AGAINST ANY AND ALL CLAIMS THAT MAY ARISE AGAINST SUCH THIRD PARTY BY REASON
OF SUCH THIRD PARTY HAVING RELIED ON THE PROVISIONS OF THIS INSTRUMENT.
Signed under seal this
day of
:Ill; ,200£..
Principal: ~~ð1L#
off1Á¿
~~:'~
:: Æ.J
State of N\ICPrl6PrI'l }
Coomyof ""R¡nE ~ /þ
0~ffÚH~7/)oOÇ- before me, ~ AWrf- ',^ f ~NAi{£L---
, appeared
, personally known to
me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in his/her authorized capacity, and that by his/her signature on
the instrument the person, or the entity upon b If of which the person acted, executed the instrument.
'~
Affiant Known Produced ID
CINDY J. BUSSIERE, Notary Publicrype of ID- -
Marquette County, Michigan
My Commission Expires Oct 1,2007 (Seal)
Page 2
<O2004,Soo"',M";',lLC
lF20S ° '",04ro4
52.56'
9\1
DISCLAIMER
This map;' neither a legally "cocded map noc
a snney and it is not inteoded to be osed as one.
This dcawing is a compilation of ",",ds, data
and infocmation located in vadons city, coonty
and state offices and other so""es affecting
the am shown and it is to be used fuc "fmnce
pncposesonly. The City of Oshkosh is not,,-
sponsible foe any inacenmles herein contaioed.
If dis"'pencies ace fonnd, please cuutact the
CityofOshkosh.
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913 W. South Park Ave.
City of Oshkosh Wisconsin
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1":= 20'
ON THE WATER
Created by - MLD
01/21/05