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0146996-Building (foundation repair)
CITY OF OSHKOSH No 146996 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1324 LAWNDALE ST Owner JEAN C NELSON Create Date 07/27/2011 Designer Contractor ANDERSON BROS INC Inspector Category * 141 - Exterior Remodeling Plan Type • Building 0 Sign O Canopy O Fence O 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 O Pier O Other O Concrete Block 0 Post O Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use /Nature 1SFR/ Repair the foundation* of the house to include excavating around the foundation, locate and clean bleeders and install new drain of Work tile and backfill with 3/4" stone. Install beams in basement to reinforce wall. HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $17,321.00 Plan Approval $0.00 Permit Fee Paid $136.00 Park Dedication $0.00 Issued By: d-7 Date 07/27/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 1513280000 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. - - - T. he - . = •. - -. inform- Signature /___ Date X 7/27/)( Agent/Owner Address 2222 WHITE SWAN DR OSHKOSH WI 54901 - 2567 Telephone Number 920- 233 -4286 * 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. City of Oshkosh 11 26 Inspection Services Division PO Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 01HK01H Fax: (920) 236 -5084 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 f] JOB ADDRESS 1 3a 7 4-2 6 e OWNER C 6, 1( 1 p CONTRACTOR �t/1e•_e/ s u,-� /� ►^ O S , --L C I am the: ❑ Owner OR XContractor 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 FOL( 1 ' b n ?? Ppae //— 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: Any work not included in this application is not permitted. Value of the job $ / 7 3 a /- ©O (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: C 1 )i"i S / c e°rS o \ _:'nt) Signature. /.‘111WI Date: 7/7/71/4 / 3/02