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Home My WebLink About0151928 - Building (repair chimney) (g1 CITY OF OSHKOSH No 151928 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1331 RAHR AVE Owner PAUL W/REBECCA M PIECHOWSKI Create Date 08/23/2012 Designer Contractor OWNER Inspector Jerry Fabisch Category 041 -Residential Roofing 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 0 Post 0 Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures p Use/Nature SFR/repair chimney at roof line of Work HVAC Contractor Plumbing Contractor Electric Contractor _ Fees: Valuation $2,100.00 Plan Approval $0.00 Permit Fee Paid � $39.00 Park Dedication $0.00 Issued By: Date 08/23/2012 Final/O.P. 00/00/0000 ❑ Permit Voided( Parcel Id#0206900000 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 understan. fore -•:.ned information. Signature c g4Crtj`fsL-'J' C Date a3 c201 -- Agent/Owner Address 1331 RAHR AVE OSHKOSH WI 54901 - 5363 Telephone Number 9c3O-,7)3s--.5. /3 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 5 P Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax: (920)236-5084 Building Permit Application www.ci.oshkosh.wi.us Project Address /53/ Z/1/47 O , ,9 Applicant /Owner Contractor Tenant Other(describe) Owner/ Name / ��` ��'1K / Phone lay _�30 - y�;Tenant Address /33/ X417iL/' AimN✓ela 0541 Email beckS0. 9(>eiVervictil,G,/n Contractor Company Name + 5S ri-rl ei/a .,lint)/ ./.. /LC Phone Contact ','G0 Z, fat- Email Address State Credential #'s Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Designer Phone Contact Email Address Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration Project ,A0- c ;!' '// [).%��' o Qn�eT J %�,�n� iSl '/ � ,M�e Description Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ 0 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # i l l 1 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■ owledge and agree to these terms. Name: !f Ks�p ) �/` /.2;40 a rint Date: 4.).s/a 3/?0/J � �° E Signature: