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Home My WebLink About2011-Building (sign)n OSHKOSH ON THE WATER .fob Address 2625 S WASHBURN ST Designer Jeff Jensen Inspector CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner JENSEN LLC Contractor OWNER Category 254 - Signs Type O Building 0 Sign O Canopy a Fence 0 Raze Zoning M3 41 Class of Const: Unfinished /Basement Sq. Ft. Rooms FinishedlLiving Sq. Ft, Bedrooms Garage Sq. Ft. Baths Foundation le Poured Concrete 0 Floating Slab p Pier a Concrete Block Q Post 0 Treated Wood No 147705 Create Date 09/22/2011 Plan Size 78 sf Project "ton Canopies Signs 1 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 Install new non - illuminated wall sign on east elevation of existing principal structure for "Ultimate Rides ". Na portion of sign can extend of Work above the roof line. "`check #20368 HVAC Contractor Electric Contractor Height Ft, Stories 0 Other Plumbing Contractor Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $57.00 Park Dedication $0.00 Issued By: � �" 4:� Date 09123/2011 Final/O.P. 00/00/ Permit Voided Parcel Id # 1329430000 uautionarV btatement to Uwrlers umait roil uunaina vermit 101.65(1r) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an ovmer 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 wilh 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 famiiy 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 understand the aforementioned information. Signature Date AgentlOwner Address 3216 S ONEIDAST APPLETON WI 54915 -7030 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 n� P O Box 1130 r y Oshkosh, W[ 54903 � y Phone: (920) 236 -5050 Fax: (920) 236-5084 Building Permit Application ON rHF %*IATFR If you are a coitt j'acto) , parlicipating in the Pet Fee Account System and have adegitale twirls, check here if you irant this pi- ocessed through roar account n JOB ADDRESS WO M - -> S • UUQ SI 11�1.�b t 1 �S1 �1�OS6'1 i W I 54q 0 L ` OWNER CONTRACTOR I ant the: 0 Owner OR ❑ Conti USE CATEGORY ❑Single Family ❑Duplex ❑Multi - Family ❑Rental JICommercial ❑Industriai Work being clone: Addition External Remodeling Handicap Rantp Sign/Canopy /Awning Swimming Pool ' ! Other Deck/Porch/Patio Fence /Hedge/Kennel Hot Tub /Spa Stair /Handrail Wrecking Permit I Driveway /Parking C Garage /Utility Structure ❑ Internal Remodeling i 1 Stove /Fireplace For External Remodeling, Wrecking Permit, and Internal Remodeling please see Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR Asbestos Program website; htlp: /t dnr .wi.gavlair /conil)enflasbestos / . For additional information on hazards present in buildings see the Pre- Demoiition Environmental Checklist at http://dnr.vii.gov/or.glaw/wmlpublir-ationslane% f Additional information, such as plan submittal and approval, may he required before issuance. Fliers, located in the hallway, may be referenced to note if any additional information is necessary. 4 Full description of work being done: uuccd� bCLCY_Ai A(A _ LGA— V-yuZ< k— CAr1.�US� te, aA -,rte. QP;cn u -n 4- bLMK- Any work not included in this application is not permitted. Value of the job $ 1 , S QQ . (Value for materials and labor is required to ensure consistency in accessing permit fees for all applicants.) PLEASE READ, SIGN, & DATE: I certifj the above itfarination is conq)lele and accurate. Any devirtti In f the above submitted ii fortlratiotl may regllire additiotlol pei to be obtairiecL I aclnroiv edgle acrd agree to these terms. Name: S� nc e l' {Please print) Signature: Date: Ct -1 3/02