HomeMy WebLinkAbout0144676-Building (foundation repair) CITY OF OSHKOSH No 144676
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1926 E MURDOCK AVE Owner LURTON /CAROLYN M BLASSINGAME R TRUST Create Date 01/18/2011
Designer Contractor ABT FOUNDATION SOLUTIONS INC
Category * 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy Fence 0 Raze
Zoning Class of Const: Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. 911 Projection
Finished /Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete O Floating Slab 0 Pier ❑ Other
O Concrete Block O 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 / EXCAVATION AND FOUNDATION REPAIR OF WEST WALL AND WESTERN 14' ON NORTH WALL * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,600.00 Plan Approval $0.00 Permit Fee Paid $81.00 Park Dedication $0.00
Issued By: Sr
STh Date 01/18/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1518670000
In the performance of this work 1 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: 01/17/2011 15:26 #995 P.002/002
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 Of OJH
Building Permit Application ON THE WATER I I
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
i you want this processed through your account
JOB ADDRESS 11 34 E. J'Nu
OWNER_ 6 604E,..
CONTRACTOR j( 69unvi 'lonJ O1,U 6
I am the: 0 Owner OR Contractor
U E CATEGORY
Single Family ODuplex OMulti Family ❑Rental ❑Commercial ❑Industrial
Work being done:
-+ Addition L .; 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 i Wrecking Permit
Other fot.4M13PFnon1 WAAL
For External Remodeling, Wrecking Permit, and Internal Remodeling please see Chapter NR 447 of the Wisconsin Administrative Code and
Notification Form 4500 -113 on the DNR Asbestos Program website; htto; // dnr .wi.00vtair /compenf/asbestos /.
For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at
htto: / /dnr.wi. oov/ ora/ aw/ wm/ oublications /anewaub/WA651.pdf.
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 my/DA/ Amp ThumoRvo RM g ., O j
W l✓5T (N�l� AND G✓EsT .,,�,7 � — r of A/O►e -n+ /NAV..
Any work not included in this application is not permitted.
Value of the job $ � � CJt/l J (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: JAcsor i e7AU 6/L 4.6--
(Please pnnt
Signature: / //1n`"'
Date: / '/`1
3/02
Received Time Jan. 17. 2011 2:32PM No, 4392