HomeMy WebLinkAbout0140374-Building (raze garage)0 CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 100 E GRUENWALD AVE
Designer
Category 285 - Wrecking (Industrial & Commercial
Type 0 Building 0 Sign
Zoning
Owner DANIEL L BUSH
Contractor OWNER
0 Canopy 0 Fence
Class of Const:
Unfinished /Basement Sq. Ft. Rooms
Finished /Living Sq. Ft. Bedrooms
Garage Sq. Ft. Baths
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00
Park Dedication # Dwelling Units
Use /Nature COMM1 Tear down detached garage. No electrical, dirt floor.
of Work
--
HVAC Contractor
Electric Contractor
Height
Stories
Other
Flood Plain
0
No 140374
Create Date 04/06/2010
Plan
Raze
Size
Ft. ❑ Projection
Canopies
Signs
Height Permit
# Structures
Plumbing Contractor
0
Fees: Valuation 0 Pla p al $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: Date 04/06/2010 Final /O.P. 00/00/0000
❑ Permit Voided Parcel Id # 1515370000
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 an necessary approvals before startin such activity. �a
I Signature read and �the afor nti info Cr
Si nature Date G
Address 914 ERIE AVE
Agent/Owner
OSHKOSH WI 54902 - 6345 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
PO Box 1
Oshkosh, WI 54903 -1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Building Permit Application __ONTttATER ' '
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 n
JOB ADDRESS LlnF� L,t l
OWNER
CONTRACTOR
I am the: 4owner OR ❑ Contractor
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental YCommercial ❑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
X reeking 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 information is necessary.
❖ Full description of work being done:
no e lei fiir ic- I Hi
Any work not included in this application is not permitted.
o1.1^
Value of the ob $
j � (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.
Name
(Please print)
Signature: /tz Z--
Date:
3/02