HomeMy WebLinkAbout0142011-Building (excavate walls) I CITY OF OSHKOSH No 142011
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1732 SKYVIEW AVE Owner SCOTT M /HEIDI J PETHAN Create Date 07/13/2010
Designer Contractor ABC WATERPROOFING 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 • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Excavating two of the foundation walls, pushing them back and supporting them, waterproof cracks, install new draintile and backfill
of Work with gravel. The contractor is responsible for the design of the foundation supports as this was not reviewed and /or approved at the time
of the permit issuance.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation
n . $6,200.00 Plan Approval $0.00 Permit Fee Paid $67.00 Park Dedication $0.00
Issued By: ►\ +(f�
Iv Date 07/13/2010 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id # 0612420000
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 erst le afore • n information.
Signature s � Dat '
Agent/Owner
Address 6059 COUNTY ROAD H DEPERE WI 54115 - 8543 Telephone Number
* 141 - Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
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 Boh 1130
*-1
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 O.lHKO1H
Fax: (920) 236 -5084
Building Permit Application ON THE WATER
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 fl
JOB ADDRESS / v l/ v
OWNER Sc: o?-7 Po 7
CONTRACTOR
�l /d I�r . �i
/G f/
am the: wner OR , ontractor
USE CATEGORY
Jiggle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
❑ Other go.),- . 1 l -
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: ;c �, �, a L✓a //t 7% e % -7 Cot,eca
420:ryr4 .7 (1/IL /Ys' )O w 9rt it., % lc /rc14 // w/ 6 .- /
Any work not included in this application is not permitted.
Value of the job $ l O. o, (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
1 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: ;;v€--y �/r
/ ( lease print)
Signature: j
Date:
3/02