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HomeMy WebLinkAbout0143536-Building (shed) CITY OF OSHKOSH No 143536 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 844 W 19TH AVE Owner RICKY A/CAROL J HOLLMAIER Create Date 10/08/2010 Designer Contractor OWNER Category 151 - New Utility Buildings -Sheds (Residential) 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use /Nature SFR/ Shed *Constructing a 10'x15' storage shed on a concrete slab with anchor bolts. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $32.00 Park Dedication $0.00 Issued By: k91‘."-- Date 10/08/2010 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 1412750000 Cautionary Statement to Owners Obtaining Building Permits 101.65(1r) 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 perfomiance of this work I agree to perform all work ursuant to rules governing the g g t e 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 and tand the ore entioned information. Signature Date ( _ /0 Agent/Owner Address 8 4 W 19TH AVE OSHKOSH WI 54902 - 6721 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 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 u Fax: (920) 236 -5084 Of HKOJH 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 thi .processed through your account n JOB ADDRESS 84 W W. ( 9 � `' Ave . Osh kos h OWNER k c.k, l I ran Q,t e, r CONTRACTOR I am the: . Owner OR ❑ Contractor USE CATEGORY 'Single Family ❑Duplex ❑Multi - Family :Mental ❑Commercial ❑industrial Work being done: ❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking ❑ External Remodeling ❑ Fence /Hedge/Kennel ) 3arage/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: / 0 � x (S $7 -6 Sg p Ai ex e-� S tie/4s i,J l Any work not included in this application is not permitted. Value of the ob $ 02. ,D ou applicants.) J (Value for materials and labor is required to ensure consistency in accessing permit fees for all 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: /Cg /` L c.-At ��� n —Y(� `� (Please p 'nt) N � Signature: A _ _ Date: le/S0 3/02 39.0' . 70 ■0' 70■ .. 1 r • , \ 9 1 7 f Z c / /DA IS' N 25° y A , r c , co ' z y y� tp5 P9 y (yr'Jr 5"�, T r ,a, d �C G! 4. a do 0m , rjkRi4, ", A' , , „� a ij c y , 'aj ,� . � ' R r Y a ; ''ter � J � *44144 - .„,,,'egiiISAVADAVAT - ' ti,:t,,„Aft115.:olVtiog;owfig' ' , 52 844 ,1 'I DISCLAIMER This map is neither a legally recorded map nor City of Oshkosh Wisconsin a survey and it is not intended to be used as one. Community Development This drawing is a compilation of records, data 844 \V 19th Ave N and information located in various city, county and state offices and other sources affecting the area shown and it is to be used for reference 1” = 20' purposes only. The City of Oshkosh is not re- 9/30/10 sponsible for any inaccuracies herein contained. If discrepencies are found, please contact the • City of Oshkosh. Created by - D