HomeMy WebLinkAbout0140033-Building (interior water control system) CITY OF OSHKOSH No 140033
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 15 W 12TH AVE Owner HARVEY E THOMAS Create Date 03/11/2010
Designer Contractor ABT FOUNDATION SOLUTIONS INC
Category 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/ LATE PERMIT/ 130' of an interior water control system. A seperate plumbing permit is required for the installation of the sump
of Work pump.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,150.00 Plan Approval $0.00 Permit Fee Paid $160.00 Park Dedication $0.00
Issued By: )4..9)1/4--/ Date 03/11/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided I Parcel Id # 0303590000
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 and understand the afore mentioned information.
Signature Date
Agent/Owner
Address 2100 AMERICAN DR NEENAH WI 54956 - 1004 Telephone Number 734 -8653
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.
From: 03/10/2010 13:33 #505 P.002/002
City of Oshkosh
Inspection Services Division
P Boh 1130
01"
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 O. OJH
Building Permit Application ON THE WATER l
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account
JOB ADDRESS r / 6 9 7 j c J . l Z 4 i/t
OWNER ie vE. y
CONTRACTOR 467 A911 5c/& 71O4JS
I am the: 0 Owner OR El Contractor
USE CATEGORY
EiSingle Family DDuplex DMulti- Family ORental [Commercial ❑Industrial
Work being done:
0 Addition 0 Deck/Porch/Patio 0 Driveway/Parking
0 External Remodeling 0 Fcnce/Hedge/Kennel 0 Garage/Utility Structure
0 Handicap Ramp 0 Hot Tub /Spa 0 Internal Remodeling
❑ Sign/Canopy /Awning 0 Stair/Handrail 0 Stove/Fireplace
0 Swimming Pool 0 Wrecking Permit
IX Other Fccr,/4/97 /4A.1 RF�/h',Q
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: j go l u.)47e,e & 'Z cC 5X 7 i r' ',O,e , SY.STf.W
"XL1016 IS 5 7 7 .44 -9,e _saw,
Any work not included in this application is not permitted.
Value of the ob $ .� /50 ,l � (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
1 cent f 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: GF,O/€6f nitefie 2—
(Please print)
Signature: Zj
3/f0/10
Received Time Mar. 10. 2010 12:38PM No.0148