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CITY OF OSHKOSH No 130154
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1731 MINNESOTA ST Owner KIM M BLAKE Create Date 05/27/2008
Designer Contractor OWN_E_R _ _ _
Category 141 -Exterior Remodeling Plan
Type ~ Building ~ Sign 0 Canopy ~ Fence ~ Raze
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ^ Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation ~ Poured Concrete ~ Floating Slab 0 Pier ~ Other
Concrete Block 0 Post Q Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain __ Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature rSFR/ LATE PERMIT/ Re-roofed the house, complete tear off. NO STRUCTURAL WORK. (The owner's husband Mark Joungwirth
of Work pbtained the permit)
I'
I
s
HVAC Contra
ctor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid _ $32.00 Park Dedication $0.00
Issued By: ~~ Date 05/27/2008 Final/O.P. 00/00/0000
^ Permit Voided Parcel Id # 1404070000
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 pertormance 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 un the of mend ed ' formation. ,, ,f
Signature J G C ~ Dat /"'Q 27
Agent/Owner
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Address 1731 MINNESOTA ST
OSHKOSH WI 54902 - 6838 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 pertormed within two business days from the time the project is ready.