HomeMy WebLinkAbout0145100-Building (foundation repair) CITY OF OSHKOSH No 145100
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 136 W 22ND AVE Owner MARGARET A MORTENSON Create Date 03/09/2011
Designer Contractor ABT FOUNDATION SOLUTIONS 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Foundation Repair *Excavating the foundation to the footing on the south, east and west walls. Straightening the walls as best as
of Work possible, reinforcing the walls, backfilling with gravel and replacing the draintile. The contractor is responsible for the design of the
reinforcement of the foundation walls.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $17,250.00 Plan Approval $0.00 Permit Fee Paid $136.00 Park Dedication $0.00
Issued By: k Date 03/09/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1400520000
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: 03/08/2011 16:47 #051 P.001/001
City of Oshkosh
Inspection Services Division
PO Box 1I30
0 -
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 �y Application Of-- -KO-1—
Building Pm
erit Application ON THE WATER
If you are a contractorparticipating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account
JOB ADDRESS f J(. W -6._ A uQ vo.e. � �. ko 5 6
OWNER A0� c; - 1-e (I\G v\_‘ 0V °'
CONTRACTOR • _ • a -J V\ . ct - t - LiAV\ ,-- t 1 ) - k - �
I am the: D Owner OR ?Contractor
US CATEGORY
`I: ingle Family ODuplex DMulti- Family ❑Rental ❑Commercial OIndustrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
0 Sign/Canopy /Awning 0 Stair/Handrail ❑ Stove/Fireplace
o Swimming Pool 0 Wrecking Permit
Other q..X C Ck V q 1 . 1 ts. w1 — Pek, i3a „ u., a.(I
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:
E Xr a v R. - tU3 36 Y CINN Li t e_gt s—. ' .42-- U , -; --4) ---
W a 1 1 S S-t ck ct In - AC U -' k (( o. S c i • D 0SS 1 to Le _j__—_
f 2 . , N -e f C —Q �a.cI ;1.1 w;- rcLQ�..k c-- lQLP
alrti-t-.1 .
Any work not included in this application Es not permitted.
Value of the job $ 1 7 D v v (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certibi the above information is complete and accurate. Any deviations from the above submitted
information rnay require additional permits to be obtained. I acknowledge and agree to these terms.
Name: L e- Vv\ L:_
(Please pri
Sio ature7) 0 C ,
3 -- g --1 1
Received Time Mar. 8. 2011 3:53PM No. 4890