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Home My WebLink About0146560-Building (driveway) CITY OF OSHKOSH No 146560 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 31 LAKE ST Owner JASON W /CYNTHIA M LIENHARD Create Date 06/27/2011 Designer Contractor OWNER Inspector Nicole Krahn Category 256 - Parking Lots, Driveways 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 1 SFR / REPLACE BLACKTOP DRIVEWAY AS APPROVED BY THE ZONING DEPARTMENT of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valua • $2,590.00 Plan Approval $0.00 Permit Fee Paid $70.00 Park Dedication $0.00 Issued By: Date 06/27/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 0803720000 Cautionary Statement to Owners Obtaining Building Permits 101.65(1 r) 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 an erstand elm ntioned information. Signature � Date 62 -p( 7- // LLLLLL Agent/Owner Address 331 BELLEVILLE ST RIPON WI 54971 - 1735 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. ) 08a City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 9 pp HK H O. O1 Building Permit Application ON THE WATER I you are a contractor participating in the Permit Fee Account System and have adequate . If P P S uate funds, check here 9 i you want this processed through our account Ft f P S �' JOB ADDRESS 1 4 OWNER F 0 - C;LVAr ✓1 ✓L CONTRACTOR Ja 1(7 v ) 7 `-f I am the: aOwner OR ❑ Contractor USE CATEGORY S ingle 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, be required before issuance. Fliers, PP , ma Y re 9 located in the hallway, may be referenced to note if any additional information is necessary. ❖ Full description of work being done: 12e P� a c c b Clcr k-Fcp t R)--€1.e DceK Any work not included in this application is not permitted. Value of the job $ 4 c1®• 00 (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: EA5 eaLea n. lease not � print) Signature: Date: 1 7- 3/02