HomeMy WebLinkAbout0144066-Building (foundation repair) CITY OF OSHKOSH No 144066
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 217 W NEVADA AVE Owner MARK W /LINDA NOTZKE Create Date 11/15/2010
Designer Contractor ANDERSON BROS INC
Category * 141 - Exterior Remodeling Plan
Type • Building 0 Sign Q 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 Q 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 excavating the south wall, straightening the block repairing mortar joints, bleeders, draintile and
of Work waterproofing.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,585.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Issued By: Date 11/15/2010 Final /O.P. 00 /00 /0000
J ❑ Permit Voided Parcel Id # 1501040000
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 n - - ssary approvals before starting such activity.
I have read and u. , tand t - - ; e me � )p • =,, information.
i
Signature , /!= - Date 4
Agent/Owner
Address 2222 WHITE SWAN DR OSHKOSH WI 54901 - 2567 Telephone Number 920 - 233 -4286
* 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.