HomeMy WebLinkAbout0130652-Building (drop ceiling)OSHKOSH
ON THE WATER
Job Address 3358ISAAC LN
Designer
Category 140 -Interior Remodeling _ _ Plan
Type ~ Building 0 Sign 0 Canopy _ _ Q Fence ~ Raze _ _ J
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 0 Floating Slab ~ Pier ~ Other
Concrete Block ~ Post ~ Treated Wood _ _
Occupancy Permit
Park Dedication
Use/Nature
of Work rea
CITY OF OSHKOSH No 130652
BUILDING PERMIT -APPLICATION AND RECORD
Owner WILLIAM G/PATRICIA M BALLWANZ Create Date 06/18/2008
Contractor OWNER
Not Required Occupancy Fee $0.00 Flood Plain ~ Height Permit
# Dwelling Units 0 # Structures 0
'Installation of °a drop ceiling for
except for storage.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
storage area. NOTE: There are no
Plumbing Contractor
$1,000.00 Plan Approval $0.00 Permit Fee Paid
^ Permit Voided
$25.00 Park Dedication $0.00
Date 06/18/2008 Final/O.P.00l00/0000
Parcel Id # 1416580208
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 bepuse 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 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 appliption 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
Address 3358 ISAAC LN
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number CONDO UNIT
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 protect 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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
C~lHKC~~H
Building Permit Application ON THE WATER
you are a contractor participating in the Permit Fee Account System and have adequate funds check here
ifyou want this processed through your account (~
JOB ADDRESS ~ ~S g ~ ~S A-G L /9'v-
OWNER ~~/!~_~ ~ ~~}~LI ~~~C~Lv/F~\, ~,S ~ -(~j 7 7 7
CONTRACTOR
I am the: ~wner OR ^ Contractor
USE CATEGORY
`Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Work being done:
^ Addition
^ External Remodeling
^ Handicap Ramp
^ Sign/Canopy/Awning
^ Swimming Pool
^ Other
^ Deck/Porch/Patio
^ Fence/Hedge/Kennel
^ Hot Tub/Spa
^ Stair/Handrail
^ Wrecking Permit
^ Driveway/Parking
^ Garage/t)tility Structure
Internal Remodeling
^ Stove/Fireplace
Additional information, such 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: ~'~L~ ~ ~ ~ ~ ~~ ~~ ~hi/L /~T
Anv work not included in this application is not permitted.
Value of the job $ ~~, UGC. (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 acknowledge and agree to these terms.
Name: l~i~ Z ~~~.-~~~Z
(Please print)
Signature:
Date: ~ 1~ 6 ~ ~
3/02