HomeMy WebLinkAbout0151884 - Building (overhead doors) CITY OF OSHKOSH No 151884
OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1035 OTTER AVE
Owner ALFRED W PIOTTER Create Date 08/22/2012
Designer
Contractor OWNER
Inspector John Zarate Plan
Category 152-Residential Addn/Alt Accessory Structure
Type • Building 0 Sign O Canopy 0 Fence O Raze
Class of Const: Size
Zoning R-2 Hei ht Ft. ❑ Projection
Unfinished/Basement Sq.Ft. Rooms g
FinishedlLiving Sq.Ft.
Bedrooms Stories Canopies
Signs
Garage Sq.Ft. Baths
Foundation • Poured Concrete O Floating Slab 0 Pier O Other
O 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 ISFR/Removing the two 7'overhead doors and installing a 16'overhead door. New header will be installed. 2'return will be provided on
of Work the West side of the garage and the East side will be tied to the existing structure. All construction shall comply with State and local
codes.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $680 Plan Approval _ $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
� Date 08/22/2012 FinaIIO.P. 00/00/0000
Issued By: ! w - - -�
❑ Permit Voided Parcel Id#0802470000
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 use of
death of others or damage to the property of others that arise out of the
caused by any building permit or
by the contractor that o curs
bodily injury to or death of others of damage to the property of others that
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 understa d th afore entioned iriformatio Date 2
Signature q-1 L', CO ✓�)/�
Agent/Owner
Address 1035 OTTER AVE _OSHKOSH WI 54901 - 5446 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type
Phone of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name
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.
P O Box 1130
Oshkosh,W 54903-1130
City of Oshkosh I Phone: 54903-1130
236-5050
City Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name 14-( -{- red T o G/F ie-- Phone L 3/ -76 �--O
Tenant JJ
Address /O�.5 --)71-1-7r- Ave Email
e
Contractor Company Name I I 7-u et k((1/ Phone
Contact Email
Address
State Credential#'s '
Dwelling Contractor Qualifier# Dwelling Contractor 4 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 (Ee p�( �� 2- L21 fc (&L E)c)oc5.
Description ')
GO c-I-It O 0 L -7 I 6 ! (2 Grp 94-
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ 6.8(9,e` (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 2.1$cl, 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. 20 ,�
Name: A t f iAei 0 1 `d` v'- (Please print) Date: 8 2 -
.2
/ ),644„
Signature:
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