HomeMy WebLinkAbout0126678-Building (repair foundation wall)
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OSHKOSH
ON THE WATER
Job Address 2524 OREGON ST
CITY OF OSHKOSH No 126678
BUILDING PERMIT - APPLICATION AND RECORD
Owner GERALD & DOREEN GOGOLEWSKI Create Date 09/10/2007
Designer
Contractor
DAN DODGE MASONRY & CONCRETE
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
Unfinished/Basement
Sq.Ft.
Finished/Living
Sq.Ft.
Garage
Sq.Ft.
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature
of Work
SFRI Repairing 82' of the foundation wall. Installing aluminum soffit and fascia. -The foundation will be excavated and straightened. A
ump crock will be installed with draintile. The foundation walls will be supported with I beams. The contractor is responsible for the
engineering and installation of the I beam system (see attached estimate)
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $11,600.00 Plan Approval
Issued By: ~ ~j---
$0.00 Permit Fee Paid
$100.00 Park Dedication
$0.00
Date 09/11/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1411840000
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
Agent/Owner
Address 2524 OREGON ST
OSHKOSH
WI 54902 - 7130 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.
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City of Oshkosh
InspectiOll Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Building Permit Application ON THE WATER
If vou are a contractor participatinfl in the Permit Fee Account System and have adequate funds. check here
ifvou want this processed throuflh your account n .
JOB ADDRESS c7-F.:2-t/ t:7 AJ~d~;9/ .
,
~/Z.~b/? &~6-e:9/e;h-/~/<(; .f ~D~ &oGO~t0L
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I am the: r. Owner OR 0 Contractor
"",.-d
OWNER
CONTRACTOR
US:&-C}\TEGORY
mSingle Family DDuplex DMulti-Family DRental DCorhmercial DIndustrial
itl;
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Swimming Pool
o Other
Additional information, s~ch 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 necessary.
.:. Full description of work being done: ~//}P/ 12 .J?'.;L.. / ;:Z#5c?"'~~ ~ a/ /j9Cc:::'..-/
-(' /P.S./H~c.. ..5J-(h/ ~~
o Deck/Porcb/Patio
o Fence/Hedge/Kennel
o Hot Tub/Spa
o StairIHandrail
o Wrecking Permit
o Driveway/Parking .
o GaragelUtility Structure
o Internal Remodeling
o Stove/Fireplace
CP~E/2- ~~L
.7ef;7//7' y-~7JJ.c/ft y- z?~k/ ,(v",(.7""'4 ,..6J-.L~
Any work not included in this application is not permitted.
Value of the job $ / ( tf/;/.i? & (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 tleviations from the above submitted
information may require additional permits to. be obtained. 1 acknyledge and agree to these terms.
Name: D.:f6J it l.euJ::4k~
( (please print)
Signature4'#~~,d '--'
Date: . 'f-,/,.?l --?J,7
3/02
Dan Dodge Concrete
5E New York Ave
Oshkosh Wi 54901
420-7620
Invoice
Nu'rriber: 1013
';:;(~(l n
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,
I
Ship To:
I
D~te:
July 30, 2007
Bill To:
Dee Koeller
1820 Columbia Ave
Oshkosh, Wi 54901
F
PO Number
Terms
F
Project
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Date
Description
Hours
Rate
Amount
Price is for concrete
foundation and slab, per
engineers design and state
code, construction procedures
to be done as though plan
states, 50% done balance upon
completion
4,700.00
t~ ~~L:;t'
t;;S.L~j.J2
Total
\~t~,
$4,700.00
:;... ~'
o - 30 days
31 - 60 days
61 - 90 days
> 90 days.. ,'".';\,,~;'Pi'7t. n.:' sT9!al
-;;J:~4,700. 00
$0.00
$0.00
$4,700.00
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