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OSHKOSH
ON THE WATER
Job Address 1302-1306 SUMMIT AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Category 141 -Exterior Remodeling
Type ~ Building ^ Sign
Zoning
Unfinished/Basement Sq. Ft.
Finished/Living Sq. Ft.
Garage Sq. Ft.
Foundation ~ Poured Concrete ^ Floating Slab
^ Concrete Block ^ Post
Owner ERICSON ENTERPRISES LLC
Contractor OWNER
^ Canopy ^ Fence
Class of Const:
Rooms Height
Bedrooms Stories
Baths
^ Pier ^ Other
^ Treated Wood
No 133671
Create Date 10/24/2008
Plan
Raze
Size
Ft. ^ Projection ii
Canopies
Signs
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature x#1302 /Replace 13 windows in existing openings, install new kitchen cabinets and drywall repair.
of Work
HVAC Contractor Plumbing Contractor _
Electric Contractor
Fees: Valuation _ $5,000.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Issued By: Date _1_0/24/2008 Final/O.P. 00/00/0000
^ Permit Voided Parcel Id # 1202790000
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 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. j
I have read and understand the aforementioned information. `
Address 25233 83RD ST
Agent/Owner
CSI FAA
Date %(,} ; ~ ~ ' r jjG, ,`>
WI 53168 - 0000 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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
O
(~ ~NKn /H
Building Permit Application ~~: r:-{=,r~~.TF~
If you are a contractor participating in the Permit Fee Accozrnt Svstem and have ade~c z~ate~'aznds check here
if you want this processed through your account (~
~ ~ •~~ ~-
JOB ADDRESS_~~7C~~ ~ t,,~t..,,~,~
OWNER ~ `~:.~v ~ ~~ ~, ~~~ ~ ~, = S ~~,-~---
CONTRACTOR
I am the: f~Owner OR ^ Contractor
USE CATEGORY
^Single Family ^Duplex G~lYlulti-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/LJtility Structure
Internal Remodeling
^ Stove/Fireplace
Additional information, such as plan submittal and approval, maybe required before issuance. Fliers,
located in the hallway, may be referenced to not~f any additional information is necessary.
• Full description of work being done: ~ ~ ~~~~~ ;,~„ )~~ ,~~j ~„~~~ ~~ ~, ,~~..~~~~~~~t
t ~, ~ ~ -
Any work not included in this application is not permitted.
Value of the j ob $ ~~,~~.~ _ r/- Z..-% (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.
r.
Name: ~ ~ ~c~v
(Please print)
Signature.:
-_
Date: v ~-~ c;
3/02