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HomeMy WebLinkAbout0152055 - building (replace door) CITY OF OSHKOSH No 152055 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Create Date 08/30/2012 Owner ST MARYS CONG — Job Address 619 MERRITT AVE - Contractor GANTHER CON_STRUCTION Designer _-Inspector John Zarate Plan Category 208 Alteration Churches&other Religious Raze Sign O Canopy O Fence - Type • Building 0 -- -- - - - -- - -- — Class of Const: — Size Zoning R-2 Protection Sq.Ft. Rooms Height Ft. f n] Unfinished/Basement ---Bedrooms Stories Canopies Sq.Ft. - — Finished/Living -_--_ ----- Signs Garage _ Sq. Ft. Baths Poured Concrete O Floating Slab O Pier 0 Other Foundation g 0 Concrete Block 0 Post 0 Treated Wood Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 -.-- - Use/Nature `Comm/School/Replace the fire door in the lower level and close in an existing opening not required for exiting. of Work I to - Plumbing Contractor HVAC Contractor _-— ---- -- Electric Contractor --------- Fees: Valuation $550.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00 Date 08!30/2012 Final/O.P. 00/00/0000 Issued By: C1�( Parcel Id#0404350000 �_ / El Permit Voided j 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 442 MONROE ST OSHKOSH WI 54901 - 5146_ Telephone Number St.Frances Cabrini S 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. P O Box 1130 Oshkosh,WI 54903-1130 City of Oshkosh Oshkosh,WI 903-1130 Fax: (920)236-5084 Building Permit Application www.ci.oshkosh.wi.us r Address v 1 �`� t 1--`h AUG 2 9 201 Address DEPARTMENT OF Applicant Owner Contractor Tenant Other(describe) NiTY DEVLLOPMENTr Owner/ Name ► .......16� i Phone__ RYI E IV ION Tenant L 571 h Hi r+ -- Address ICI YY1F„ i 1 _/__ \/(_--,‘7.- 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 Ne Addition Alteration Project �D -- ' 1 _ ■�' S Description Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ � (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 a obtained. I acknowkedgt and agree to these terms. / ) Name: .1--t�-� i �... - (Please print) Date \ �LJ Signature: `�____