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Home My WebLink About0151451 - building (install pool) CITY OF OSHKOSH No 151451 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3145 HALLIE HOLLOW CT Owner KEVIN J/JENNIFER L MARTIN Create Date 07/31/2012 Designer Contractor OWNER Inspector Nicole Krahn _ Category 252-Pools-Above ground Plan Type • Building O Sign O 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 O Pier O Other O Concrete Block O Post 0 Treated Wood Occupancy Permit _ Occupancy Fee _ $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature SFR\Install pool per submitted site plan and applicable codes. of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $12,053.00 Plan Approval $0.00 Permit Fee Paid $137.00 Park Dedication $0.00 Issued By: '' — Date 07/31/2012 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1343690000 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. Signature Date Agent/Owner Address 3145 HALLIE HOLLOW CT OSHKOSH WI 54904 - 6932 Telephone Number 233-2297 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. Building Permit Application n e k C . ill. 1 li ()S11R0 h 1nnhccti()tl Scl-v ict> IDiv i ioofl ❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would like this permit processed through your account. Project Address: 319`7 Fk i it OI low C4 - Circle one: Single Family Duplex ' �M Daytime Phone#: G(�' Z� 3Z53 Owner's Name: �;�n Q� (�� I'ti�� ,� y) Daytime Phone#: _kb' 0d Contractor's Name: y�, ,ail!.; /� 3e-. -f � �� If the contractor is applying for the permit provi a the following: Dwelling Contractor# Contractor Qualifier# *These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors conducting work on residential property. Value of the project including labor and material to ensure consistency in��singpermitfees for all applicants *The value for both materials and labor required even if you're doing your own work A general rule of thumb is to double the material cost or provide an estimate from a contractor. Full description of the work being done: T (\i k 2 ,:11 Ma 1 Vt. is 1. 11- Electrical work is being done by: L.rl\c... To lam Any work not noted on this application will not be included on the permit! The following documents are attached to this application: o 2 Site plans o Applicable fees Please read the following and sign and date this application prior to applying for the building permit. 1 certify the above information is complete and accurate. Any deviations from the above submitted information may require additional reviews and permits to be obtained. I acknowledge and agree to these terms. i 0 Signature: L.:,;11..eI I 1/,; 73)- Z Date: ' / 4 5/12/2011