HomeMy WebLinkAbout0126115-Building (foundation)
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OSHKOSH
ON THE WATER
Job Address 1609 ELMWOOD AVE
CITY OF OSHKOSH No 126115
BUILDING PERMIT - APPLICATION AND RECORD
Owner KELL Y/SARA JO SAMPLES Create Date 08/06/2007
Contractor ABT FOUNDATION SOLUTIONS INC
Designer
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. o Projection I
-
Bedrooms Stories Canopies
-
Baths Signs
-
Zoning
U nfi nished/Basement
Sq.Ft.
Finished/Living
Sq.Ft.
Sq.Ft.
Garage
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR 1 Excavate north, south & west walls. Straighten & support walls on inside. New drain tile, tar, insulate, backfill with 3/4" clear stone.
of Work I "DEBIT ACCT".
HV AC Contractor
Plumbing Contractor
Electric Contractor
$15,810.00 Plan Approval
~
$0.00 Permit Fee Paid
$124.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
Date 08/06/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcel Id # 1200940000
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 2100 AMERICAN DR
Agent/Owner
NEENAH
WI 54956 - 1004
Telephone Number
734-8653
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
~g 04 07 11:58a
::: City ofO,bkosb
Inspection Services Division
POBox 1130
Oshkosh. WI. 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
(920)734-8622
(920) 734-8622
p. 1
~
OJHKOJH
Building Permit Application ON THE WATER
I au are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
ou want this rocessed throu h our account
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JOBADDRESS~~()q [1 MVJ~e~
OWNER K' -e \ \ 'Y SC-\.. ~ \.U <-
CONTRACTOR A 2> T ~ -.J'Y\ d-ct.. l C ~Y\ ~ (U-t:-t ~V\. \
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,
I am the:
DOwner
OR ~tractor
USE CATEGORY
~gle Family DDuplex DMulti-Family ORental o Commercial o Industrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Deck/PolchIPatio
o FencelHedge/Kenne1
o Hot Tub/Spa
o StairlHandrail
o DrivewayIParking
o GaragelUtility Structure
o Internal Remodeling
o Stove/Fireplace
o Swinuning Pool 0 Wrecking Pennit _
.i(Other <Z-X (0. '\J~-t~ - BQ. ~v.:t- ~<!L.\ (
Additional information, suc:h as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is nec:essary.
.:. Full description of work being done:
9)( ('(HIt). Tf _ V\ a.( 1V\_) ~...~h. '- ~8i- lJJ~\ ls _ S-lf'(k\~ ~-r-U/\.
~ S '-.J ~ f tH-t- \.J0O.. \. I S G'Y\ J \I\. F;' I c~ - Nf> UJ . d.. '('(\ . \. II\.":TlLQ )
-ro."'\) r[ v\'S0 \..\::). ~) '0o....r Lc -(1 Ll ~ u.>l-tv\ ~(( C LDOI\f ~~\Y\...O.
Anv work not included in this application is Dot permitted.
Value of the job $ ,S-55 10,0 e- (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants_)
PLEASE READ. SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I aC"-'11owledge and agree to these terms.
Signature:
L--e~-A-,^vt k0-~
OW O:::~
~ -- '1--07
Name:
Tl",+o.