HomeMy WebLinkAbout0140573-Building (fence) CITY OF OSHKOSH No 140573
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 535 W 17TH AVE Owner KATHLEEN BENKOSKE Create Date 04/20/2010
Designer Contractor OWNER
Category 251 - Fences Plan
Type 0 Building 0 Sign 0 Canopy • 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 • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Fence* 90' of 4' high chain Zink fence along a portion of the property line per the attached site plan.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
^
Issued By: Date 04/20/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1404220100
Cautionary Statement to Owners Obtaining Building Permits
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.
I have read and understand the aforementioned information.
Signature
Date
Agent/Owner
Address 535 W 17TH AVE OSHKOSH WI 54902 - 6761 Telephone Number 233 -7434
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 ON THE WA ER
1 ou are a contractor sarticisatin• in the Permit •:-e`:: ccount S stem and have ade unds check here
if you want this processed through your account n - EcEivED
JOB ADDRESS 63 W, 1/ g V
APR 2 0 2010
OWNER K 411 le n 66n ko5k 6
DEPARTMENT OF
CONTRACTOR S G� A COMMUN DEVELOPMENT IS ON
INSPECTION SER I
I am the: Owner OR ❑ Contractor - FS
ontractor
USE CATEGORY
<Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
Work being done:
Addition Deck/Porch/Patio Driveway/Parking
External Remodeling tat edge/Kennel Garage/Utility Structure
Handicap Ramp Hot Tub /Spa Internal Remodeling
Sign /Canopy /Awning Stair/Handrail Stove/Fireplace
Swimming Pool Wrecking Permit
Other
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:
.0114(ZakAAtYld 06 difetati de44 6 //ritc-e
Any work not included in this application is not permitted.
Value of the job $ 30v, - (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. 1 acknowledge and agree to these terms.
Name: 1 C4 - 1 4 1 I Cell J3 e n ko5k -c
K24k4ft (Please print)
Signature: ,6/440 L
Date: 4 l /c1
I rD
3/02
W. 17TH AVENUE
73.54' 73.54'
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DISCLAIMER N
This map is neither a legally recorded map nor
:t survey and it is nut intended to be used as
'(his drawing is a compilation of records, data
and information f i l located various city, count,. 52 5/53 5 W. 17th Avenue
and
state offices and d in n a os affecting
the area shorn and it 15 to he used for reference
purposes only. the City of Oshkosh is not re- 03-29 -2007
sponsible for any inaccuracies herein contained.
If discrepancies arc found, please contact the 20 0 20 40 Feet Scale: 1 " = 40'
City of Oshkosh. --
- _ - -�_ _______ —__ — Source: City of Oshkosh GIS