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HomeMy WebLinkAbout0145991-Building (driveway) I;t CITY OF OSHKOSH No 145991 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 443 W 7TH AVE Owner JACOB T /BENJAMIN S FREDRICK Create Date 05/20/2011 Designer Contractor OWNER Inspector Category 256 - Parking Lots, Driveways Plan Type • Buildingi Sign 0 Canopy 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 • Other i 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/ Removing existing brick driveway and installing new asphalt driveway per approved site plan. All construction shall comply with of Work State and Local Codes. Fox Valley Asphalt will be installing the asphalt. HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $4,185.00 Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00 Issued By: Date 05/20/2011 Final /O.P. 00 /00 /0000 Permit Voided Parcel Id # 0905720100 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 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 un sta the ,entioned information. Signature Date 5-o -1I Agent/Owner Address 3 W 7TH AVE OSHKOSH WI 54902 - 5921 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 P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 OJHKOIH 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 ET JOB ADDRESS Li t— { 3 W `7 f ije ns k k llsk &) ( 5'el OZ OWNER .T_) {. ©1P 1 i E 1A AAA ILF. CONTRACTOR 1`O)( 3 J .p k 40 14 ea 4 I am the: IN Owner OR ❑ Contractor USE CATEGORY Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial Work being done: ❑ Addition ❑ 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 ❑ 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: - - • s Any work not included in this application is not permitted. 0 Value of the job $ --17.c * for materials and labor is required to ensure consistency in accessing permit fees for all applicants.) 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: (Please print) Signature: / Date: 5 .' i ( ( 3/02