HomeMy WebLinkAbout0151829 - building (repair foundation) CITY OF OSHKOSH No 151829
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 909 N SAWYER ST Owner THOMAS J/SUSAN BRUSKI Create Date 08/20/2012
Designer Contractor OWNER
Inspector Nicole Krahn
Category 044-Residential Patios Plan
Type • Building 0 Sign 0 Canopy O Fence O 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 O Floating Slab 0 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/repairing foundation wall per UDC code/straightening wall/plugging wall/replace concrete patio same size and same location
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: .a' Date 08/20/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1602960000
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 ap•lication w'hin an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secur- -, pocess ap r vals before starting such activity.
I have read and un> d the of m ndoned information.
Signature - L„•, Date 4„6 #1
Agent/Owner
Address Oshkosh WI 54901 - 0000 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.
0 City 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.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ `�
Tenant Name l n`N rhpr�"p . Phone 9,0-. 4a 4 -!36o�
Address 969 N, Sa.., p✓ - Email
Contractor
Company Name c,o,,rn b..s c cr 0,..-f--, ti 5 Phone , 3 c 3 3r" i
Contact P iv' 1 �Q r ..,k 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 P g
St-rQ ,S L'��e N Li r)c,_t ( D L1/4 usa �l / &O a ii 1 I`e� a�e C o+n e r�L
Description (� I J r
Ter_ ÷L -k.
was fr ;w.roecy l-c 1-<a . ut`I�� tua I`
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Mechanical Separate permits will be obtained for the following: ,, ��
Permits Electrical by Plumbing by r-µLk-t PxeP 0(1 . Heating by
Value of Job $ ? b 6 =C (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 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. I acknowledge and agree to these terms.
Name: (Please print) Date:
Signature: