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HomeMy WebLinkAbout0137335-Building (relocate sign)OSHKOSH ON THE WATER Job Address 2163 W 9TH AVE Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner THOMAS O HALLQUIST Contractor OWNER No 137335 Create Date 07/29/2009 Category 254 - Signs Plan Type O Building 0 Sign O Canopy O Fence O 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 0 Poured Concrete O Floating Slab O Pier O Other O Concrete Block O Post O Treated Wood _ Occupancy Permit Park Dedication Use /Nature Sign of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: fj, Not Required Occupancy Fee $0.00 Flood Plain No Not Required # Dwelling Units 0 elocate and elevate sign to 8 feet as per plans. Height Permit Not Required # Structures 0 Plumbing Contractor 00 Plan Approval $0.00 Permit Fee Paid ❑ Permit Voided] ,tatement to UWners untalnlna 13unai $25.00 Park Dedication $0.00 Date 07/29/2009 Final /O.P.00 /00 /0000 Parcel Id # 1311840000 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 ap rovals before starting such activity. I have read and understand the fore ntione .' formation. Signature Date Agent/Owner Address 2163 W 9TH AVE OSHKOSH _ WI 54904 - 8082 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 Building Permit Application If you are a contractor participating in the Permit Fee Account System and if ou want this proce ed throu h your account JOB ADDRES VA4k CONTRACTOR I am the: 'Owner OR ❑ Contractor OF e aaeauaie tupas, c ecK nere 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/Utility 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 infor tion is necessary. ❖ Full description of work b ing do fi << G elf e. 0' iipli A - % l e: -, rg Any work not included in this application is not permitted. Value of the job $ (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 rms. N e: �jG aS S (Ple a pri Signatur . Date: 3/02 DISCLAIMER This map is neither a legally recorded map nor a so rvey and it is not intended to be used as one. This drawing is a compilation of records, data and information located in various city, county and state offices and other sources affecting the area shown and it is to be used for reference purposes only. The City of Oshkosh is not re- spousiblefor any inaccuracies herein contained. If discrepencies are found, please contact the City of Oshkosh. Created by - K 4, 2163 W 9th Ave Scale: 1 "= 20' C t< `4,_, N e 17 .t A 7/21/09 Source: City of Oshkosh GIS 7r'y * »yam a � T r x °E e,tA ' w+ t1 f �+t •��,� 3 -x � ��'. --• f of ��j °u g,. y 7 IT NMI ■ #. st ' - g r A 51 � +a. Y'n - ti-�� h� I £ tvw wi � t fff , "- -m Sz r 9f Sx ry� 4 � � LAM -• - � - � u � d / y