HomeMy WebLinkAbout0128239-Building ( walls)
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OSHKOSH
ON THE WATER
Job Address 1401 W 5TH AVE
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
No 128239
Owner OSH AREA SCHL DIST FRANKLIN
Contractor FLUOR BROS CONSTRUCTION CO
Create Date 12120/2007
Designer
Category
Type
Zoning
Unfinished/Basement
FinishedlLiving
Garage
229 - Alteration Schools & other Educational
. Building 0 Sign 0 Canopy
Plan
o Fence
o Raze
Foundation
Sq.Ft.
Sq.Ft.
Sq. Ft.
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
Rooms
Bedrooms
Baths
Height
Stories
Ft.
Size
o Projection I
Canopies
Signs
Class of Const:
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain No
Park Dedication Not Required # Dwelling Units 0
Use/Nature ~chool/ Construct 2 walls to create an office and closet adjacent to food serving area.
of Work
Height Permit Not Required
# Structures 0
NO STRUCTURAL WORK.
HV AC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$9,000.00 Plan Approval
$0.00 Permit Fee Paid
$81.00 Park Dedication $0.00
Date 12120/2007 FinaIlO.P. 00/00/0000
Parcelld # 0608530000
o Permit Voided I
Cautionarv Statement to Owners Obtainina Buildina Permits
101.65(1 r) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654 (2) (a), the following consequences might occur:
(a) The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work performed under the building permit.
(b) The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub. (1) (a), because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
In the performance of this work I agree to perform all work pursuant to rules goveming 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 understand the aforementioned information.
Signature Date
Agent/Owner
Address PO BOX 3048
O$HKOSH
WI 54903 - 3048 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.
~';"""
Oshktll.h Area School Di$trlcl-Maintenance
137 s. Campbell Rd.
OshKosh. WI 54902
Ph: (920) 424-0135 Fax: (920) 424-0475
Oshkosh Area School
District · Maintenance Dept.
Fax
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City of Oshk.osh
inspectiun Services J)ivi~ion
POBox 1130
Oshkosh, VV154903-1130
Phone: (920) 236-5050
Fax: (92U) 236-5084
Building Permit Application
I{vou ar~ a c.ontrac"tor pa/'t.icirwtif!~!'1.,e permjt Fee 1.ccounLt-')vsre~1J LInd ~l,(lVe a~equate funds. chE}ck her.~~
if'vou 'wa.7!t this l?!,ocesS€ll th.ro~q:h vout"accou.~
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JOBADDRRSS::~~~~~~~C-.. ~NY~\t::L-..._,.-.,-. .-'-
OWNER.~~St.-, .~,,_~"){"~(.\~l~~L-- --...-..-...-
CONTRACTOR ~ \~9_L-....~.\~Y.._..--"-'" ,"--- -.-"-
1 am the;
~ Owner
OR
o Contractor
USE CATEGORY
DSingle family ODuplex DMu1ti~Family DRental O(CommerciaJ. Olndustrial
Work being done:
o Addition
n 0ecklporcblPatill
n Driveway/Parking
n External Remodeling
o Handicap Ramp
U Sign/C1.l.JJopy/AwIljng
11 Fence/HeugtllKelUld
o Hot Tub/Spa
U Sl.\1l'/Handntil
I, I Garagerutility Structure
9< internal Remodeling
[I Stove/f'iI'eplace
o Swimming Pool 0 W reeking Pennil
DOther
-..-.....-,....-...-'-.
Additional information, such as plan submittal and approval, may be required before issuance. .Fliers,.
located in the bnllway, may be referenced to note it' any additional information is necessary.
.:. Full dCSCliption ot'work being dOlle: .~~_~,~h--.,~_i..n.~.c-Q ('\.. r ~~~.w-'
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Anv work not inclueled in this aUllUcation is Dot llermitted.
. L9 00
Value ofthe Job o("}n....-
llpplicl\TILll.)
,..___..__,-,._.,._..,._-_.,_.-..w~._..-._.-
,_ (Valuc COI' 1l1alcrials amI labor is I'CCjuircc1 to cnSUI'C consist,em;)' in s\:cessing pcrn-Iit fcc~ CUI' all
Pl.EAS:~~ lU:AD. SIGN. & DATE:
1 certify the above information is complete and accurate.. Any deviationsfrom the above 8ubmitted
informalion may require additional permits to be obtained. I acknowledge and agree to these terms,
'-.:') .
Name: _~..L-:X-O-~~-'-'-""-
,J (Plense print)
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SIgnature: ...~~~.,------
Date: _-*~o::L~,-_"_-"_"-'~"
3/02
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FROM :Maintenance
FAX NO. :4240475
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Dec. 18 2007 12:43PM P3
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FROM :Maintenance
FAX NO. :4240415
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