HomeMy WebLinkAbout0146589-Building (fence) ll CITY OF OSHKOSH No 146589
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 134 W 24TH AVE Owner ANTHONY G MERTZ Create Date 06/28/2011
Designer Contractor OWNER
Inspector Nicole Krahn
Category 251 - Fences Plan
Type 0 Building 0 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 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 SFE / INSTALL 160' OF 6' HIGH SHADOW BOX FENCING AS APPROVED BY THE ZONING DEPARTMENT
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuati $1,596.11 Plan Approval $0.00 Permit Fee Paid $32.00 Park Dedication $0.00
Issued By:— Date 06/28/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1403310000
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 nde tand th a em- i.,, - information.
Signature �� / Date
Agent/Owner ' €1:2421/1/_
Address 134 W 24TH AVE OSHKOSH WI 54902 - 7212 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 O O/H
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 fl
•►tlg Af }nRESS 13 W d 44 1 Ave, ash Ko3h 549 o
OWNFR A n--1 -h on V G . M .rfiz.
CONTRACTOR
I am the: $Owner OR ❑ Contractor
USE CATEGORY
Single Family ❑Duplex ❑Multi - Family ORental ❑Commercial ❑Industrial
Work being done:
Addition Deck/Porch /Patio Driveway /Parking
External Remodeling .-1 ledge /Kennel Garage /Utility Structure
Handicap Ramp Hot Tub /Spa Internal Remodeling
Sign/Canopy /Awning Stair/Handrail Stove/Fireplace
Swimming Pool Wrecking Permit
Other
For Extemal Remodeling, Wrecking Permit, and Internal Remodeling please see Chapter NR 447 of the Wisconsin AdmInit trative Code and
Notification Form 4500 -113 on the DNR Asbestos Program webslte; http: / /dnr.wi.gov /air /comoenf /asbestos /
For additional information on hazards present in buildings see the Pre- Demolitlon Environmentol Checklist .a+
htto://dnr.wi.gov/org/aw/wm/oublications/anewpubNVA651.pdf
Additional information, on, such as plaid submittal and approtai,, may be required before issuance. Fliers.,
irw4 at, d in the halfway. may tie referenced to note it any acid' ionsl information is necessary.
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Value Any work not included in this application is not permitted.
l r. of the $ it S7 G 11 for u,a,;,1 luvu; ,
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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 1 acknowledge and agree to these terms
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