HomeMy WebLinkAbout0134218-Building (patio & door)~J
OSHKOSH
ON THE WATER
Job Address 1769 LOMBARD AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner JAMIE ANN LONGWORTH
Contractor OWNER
Category 142 -Decks, Patios, Ramps
Type ~ Building _ Q Sign Q Canopy ~ Fence Q Raze
Zoning Class of Const:
Unfinished/Basement Sq. Ft.
Finished/Living Sq. Ft.
Garage Sq. Ft.
Foundation ~ Poured Concrete ~ Floating Slab
Concrete Block (~ Post
Occupancy Permit
Park Dedication
Use/Nature FR/
of Work
Rooms Height Ft.
Bedrooms Stories
Baths
Pier ~ Other
Treated Wood
Not Required Occupancy Fee $0.00 Flood Plain Height Permit
# Dwelling Units 0 # Structures
a 6' patio door and rear
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
1,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
Size
Projection
Canopies
Signs
0
$32.00 Park Dedication $0.00
Date 12/01/2008 Final/O.P. 00/00/0000
Parcelld # 1611440000
cautlonarv statement_to Owners Obtaining Building Permits
101.65(1 r) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide ari 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 t>e 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 pertorm 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.
1 have read /
Signature Date ~-~( ~Q(~
Address 1769 LOMBARD AVE
OSHKOSH WI 54902 - 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.
No 134218
Create Date 10/09/2008
Plan