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Home My WebLink About0151462 - building (patio) CITY OF OSHKOSH No 151462 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 816 W 5TH AVE Owner MARILYN K FURMAN Create Date 08/01/2012 Designer Contractor OWNER Inspector Nicole Krahn Category 044-Residential Patios Plan Type 0 Building 0 Sign 0 Canopy • Fence 0 Raze Zoning R-2 Class of Const: Size Height Ft. II] Projection Unfinished/Basement Sq. Ft. Rooms Hei 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 Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature ,RES/installing a 20X26 concrete patio in rear yard and also installing 119 ft of 6 ft tall solid fence on north and east lot lines. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $3,900.00 Plan Approval $0.00 Permit Fee Paid $77.00 Park Dedication $0.00 Date 08/01/2012 Final/O.P. 00/00/0000 Issued By: ❑ Permit Voided I Parcel Id#0604620000 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 and understand the aforementioned information. Date Signature Agent/Owner Address 816 W 5TH AVE OSHKOSH WI 54902 - 5841 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 No 151462 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER :eate‘,I yFJob Address 816 W 5TH AVE Owner MARILYN K FURMAN D e 08/01/2012 Designer Contractor OWNER DATA Inspector Nicole Krahn Category 044-Residential Patios Plan Type ❑ Building --- ❑ Sign ❑ Canopy _ • Fence ❑ Raze Zoning R-2 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 ❑ Floating Slab ❑ Pier O Other 0 Concrete Block 0 Post ❑ Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures -- 0 Use/Nature RES/installing a 20X26 concrete patio in rear yard and also installing 119 ft of 6 ft tall solid fence on north and east lot lines. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $3,900. Plan Approval $0.00 Permit Fee Paid $77.00 Park Dedication $0.00 Issued By: J , ..a� — Date 08/01/2012 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id#0604620000 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 and understand the aforementioned information. o Signature --()/14, /� �>�titi^�� Date GAgent/Owner Address 816 W 5TH AVE OSHKOSH WI 54902 - 5841 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. G P O Box 1130 City of Oshkos/L Oshkosh,WI 54903-1130 L Phone: (920)236-5050 Fax: (920)236-5084 Building Permit Application www.ci.oshkosh.wi.us Project Address Applicant Owner ❑ Contractor ❑ Tenant ❑ Other(describe) Owner/ Name /Y),<r �� - /h � Phone 9d v 3 '-� Tenant Address &/ C4.7 S4 i4? Email Contractor Company Name Phone Contact Email Address State Credential#'s Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address Permit Type ❑ Residential Single Family ❑ Residential Duplex ❑ Commercial ❑ Multifamily ❑ Industrial Catagory ❑ New ❑ Addition ❑ Alteration Project Description 1 () ( �(/ - CP P4 c..,00c)c9 Mechanical Separate permits will be obtained for the following: Permits ❑ Electrical by ❑ Plumbing by ❑ Heating by Value of Job $ 3900 G D (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # c.50R(0 f ❑ Cash ❑ Permit Fee Account I cert(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 to Name: ( M Q g�l) (Please print) Date: v l( /17 Signature: