HomeMy WebLinkAbout0142732-Building (foundation repair) CITY OF OSHKOSH No 142732
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 535 JACKSON ST Owner JELKA CUCUZ Create Date 08/23/2010
Designer Contractor ABT FOUNDATION SOLUTIONS INC
Category * 141 - Exterior Remodeling Plan
Type • Building O Sign ❑ 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 • Poured Concrete O Floating Slab O 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/ Foundation repair* to include interior water control for the full perimeter and install to sump pits. A seperate permit is required for
of Work the pump installation by a plumber.
HVAC Contractor Plumbing Contractor K KELLY INC
Electric Contractor
Fees: Valuation $11,700.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: Date 08/23/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided I Parcel Id # 0702240000
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
* 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.
From: 08/23/2010 09:19 #792 P.002/002
City of Oshkosh
Inspection Services Division
P Boh 1130
I
Oshkosh, WT 54903 -1130
41
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OiHKOJi_ �I J
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 jA
JOB ADDRESS _636 _J it ek: Q %.
OWNER ,4 cL,K/4 CLJCd Z.
CONTRACTOR AA eu / /c,J >4& / //ox'{'
1 am the: ❑ Owner OR It Contractor
USE CATEGORY
, Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑industrial
Work being done:
o Addition 0 Deck/Porch/Patio 0 Driveway/Parking
0 External Remodeling 0 Fence/Hedge/Kennel 0 Garage/Utility Structure
0 Handicap Ramp 0 Hot Tub /Spa 0 Internal Remodeling
0 Sign/Canopy /Awning 0 Stair/Handrail 0 Stove/Fireplace
0 Swimming Pool 0 Wrecking Permit
YOther /2U4)44 % /D/t) 4404 -M?
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 - ///i /o, 42,4-Z A:4.? ez/Z.17/2a&
S y57g .��c�L/ / ,t e 2 54 /7//a Ain'/as, PALI/P/ f 5/a - To
4o 607/- fou /tlgSr
Any work not included in this application is not permitted.
Value of the job $ il 7D17= d (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
1 certy5, 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: 6�l�iQ6 47bz f2 -
A u (nleasc print)
Signature:
Received Time Aug. 23. 2010 9:25AM No. 2506