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HomeMy WebLinkAbout0132254-Building (foundation walls) CITY OF OSHKOSH No 132254 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER ' Job Address 1503 OSHKOSH AVE Owner LEE B KARLGAARD Create Date 08/15/2008 Designer Contractor OWNER Category 141 -Exterior Remodeling ' Plan Type ~ Building Q Sign Q Canopy Q Fence Q Raze Zoning Class of Const: _ Size UnfinishedlBasement Sq. Ft. Rooms Height Ft. ^ Projection Finished/Living Sq. Ft. Bedrooms Stories Canopies Garage Sq. Ft. Baths ' Signs Foundation ~ Poured Concrete Q Floating Slab Q Pier ' Q Other Q Concrete Block Q Post Q Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature of Work FR\ Foundation repairs as stated on attached proposal HVAC Contractor _ Plumbing Contractor Electric Contractor Fees: Valuation $11,000.00 Plan Approval $0.00 Permit Fee Paid $94.00. Park Dedication $0.00 Issued By: ~r(1`- Date 08/15/2008 Final/O.P. 00/00/0000 ^ Permit Voided I Parcel Id # 1600220000 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. j (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 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 _) < Signature Date ~ / J ~~~ Address 1503 OSHKOSH AVE OSHKOSH WI 54902 - 2635 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. ~a~n a ~ ~ 2 ~©F'/' S ~~ L-r~~s'~1 / ~51`0~'7 ST- (°~c~ cl v L~~_ w~ S `/ ~3~ Submitted To: PROPOSAL ~~~- ~~ y-s 6, t~ Name lu.~_. f ,~ _ Street 4. ~ ® 1~ _ __._ _3___. _~ ~__ ~ City~(5~~ ._ _ _ ._.___ Staten ~-_'_. __... Work Street City ... _ _ .. . Date of Plans N o. Date ~- , ~J ~~ Shiet No. At: _ State.... ____.. _ _ Architect _ .,, _ _. _.._ , _._ _ All material is guaranteed to be as specified, and the. above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of P Y~ s to be ode as ~I ow i V _ with ~0 l ~' C.1V~1~~~.~ ~ ~' l~ ~ d1v~.J~.~~ =t'~ Y1~1~ alteration or deviation from above specifications involving extra ~ n casts, will be executed only upon written orders, and will become an Respectfully submitted ~hq C>G~O extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Work- ' Per men's Compensation and Public Liability Insurance on above work to be taken out by Note-This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OFPROP05AL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the w ^ ~ as speafied. Payment will be-made as outlined above. Signature Date ~ ~ /~ ~'~~ Signature ~~Vf'i. FORM 3850 QR~G~(~AL MADE IN U.S.A.