HomeMy WebLinkAbout0151373 - Building (excavate and stabilize basement walls) 011 CITY OF OSHKOSH No 151373
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1260 HERITAGE TRL Owner LINDA C KOHLER Create Date 07/25/2012
Designer Contractor RAISERITE FOUNDATION PIER SYSTEM, INC
Inspector Nicole Krahn
Category * 141 -Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 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
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature §FR/Excavate and stabilize basement walls. East wall and a portion of the North wall will be repaired. Installing steel stabalizing beams,
of Work on interior of the basement. Backfilling with approx.T of gravel with topsoil above. Will be taring for waterproofing. All construction
shall comply with State and local building codes.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,460. Ian Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: _ .` , Date 07/25/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1314510000
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 nece ary approvals before starting such activity.
I have read and understand th ore mentioned information.
Signature AJG.At-e l ,1U Date 1-75
Agent/Owner
Address P 0 BOX 1054 MANITOWOC WI 54221 - 1054 Telephone Number 920-684-8515
* 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.
G P O Box 1130
(: City of Oshkosh Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.ns
Project I `j'
Address I � s 1� e i�f 1 r
Applicant Owner Contracto— Tenant Other(describe)
Owner/ Name C.ki,(5 `4 LC&cQ ko i-.t-e-1' Phone(ct 2-L. .5-47 41 —UOS 7
Tenant 11
Address 5 .s4.-35 q -r Pt ` . �A,r i't-,Lt...3 - Email ipclIvt a S G.. yaiton .C-°f."�
Contractor Company Name RQ1' P( 1--e ki.+1s94.1:3" -e V16 Phone CR'Zt: 6$V'85-/S
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Contact 06U-re C3 aky rr Email 44 t1 e (i.;? j QJ e''/'1.te •(:.e.)
Address Q-0. 6 ,,c to S Y f a i%I\'-k i w0c , u...f W?_Z l
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type sidential Single Fami� 1 , Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project eye a,u,:,..1 -1-,:t4i i- l r.?P I,lz3e' -ks2-4d E&J:is,J 3
Description
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c,crew a ,,,-. 1 back47( 0/ -7/y SA,'e 7 - te5-1- i.s 7 Soi.
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job s ,16 c, `�v
$ J (Value for mate is&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 2102v Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 ackn9wledge and agree to these terms.
Name: .D 0.-A-)�' v' Y— (Please print) Date: 7- '25-- (2-
Signature: 1 . CU. a
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