HomeMy WebLinkAbout0146404-Building (deck) CITY OF OSHKOSH No 146404 0
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 403 S WESTFIELD ST Owner KELLY R BUCK Create Date 06/15/2011
Designer Contractor OWNER
Inspector
Category 142 - Decks, Patios, Ramps 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 Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Removing existing deck. Building a new 16' x 16' deck per submitted plans. All construction shall comply with local and State
of Work building codes. Required inspections: footing, framing and final. * *check #936
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $64.00 Park Dedication $0.00
Issued By: 6/' Date 06/16/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 0612130000
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 r erstand t� fore entioned information. Signature /rjr C Z.----- Date ( p /C`!(
Agent/Owner
Address 403 S WESTFIELD ST OSHKOSH WI 54902 - 5535 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.
I 69
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OJHKO.IH
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
if you want this processed through your account fl
JOB ADDRESS I/{ O3 5 e (Pe 51 e,14 ✓ I
OWNER Ke,R.
CONTRACTOR
I am the: NOwner OR ❑ Contractor
USE CATEGORY
Sin Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
Work being done:
❑ Addition peck/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: ` gtrYIO v I j 44 p l f ck c t
Vl E . 4 �. .?� # ICC' i La
v‘\2, co e CLv ckv'u w i y
Any work not included in this application is not permitted.
Value of the job $ 3°0°, D° (Value 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: let1 � tick
A ss a pant)
Signature: 6
Date: 6-(C-11
3/02
Building Permit Application
g pp
itv 01'0,111\0 41 ln sery icy, 1)iv Rion
❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
Project Address: 403 S z tAJes.-14) J St . Circle one: Ingle Family Duplex
Owner's Name: tech y 1.4-0C S Daytime Phone #: 9,20 - 3 -q l30
Contractor's Name: Daytime Phone #:
If the contractor is applying for the permit provide the following:
Dwelling Contractor # Contractor Qualifier #
*These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $ 3 t 000. O. c3
*The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants
even if you're doing your own work. A general rule of thumb is to double the material cost or provide an estimate
from a contractor.
Full description of the work being done:
V ' - - h1, A__i stk il _ Al deAk
C s
Any work not noted on this application will not be included on the permit!
,>. ., aa °s .� N,., u.< �.€.. s`u�,
Please read the following and sign and date this application prior to applying for the building permit.
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional reviews and permits to be obtained. I acknowledge and agree to these
terms. L4-411 Signature: Date: 61 ic/0
4 5/12/2011