Loading...
HomeMy WebLinkAbout0152762 - Building (driveway) CITY OF OSHKOSH No 152762 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2.360 KINCAID AVE Owner RICHARD J/TERRI L PETERSON Create Date 10/04/2012 Contractor OWNER - --_ Designer — -- -- Inspector Nicole Krahn Plan Category 256-Residential Driveway Type • Building ❑ Sign 0 Canopy Fence O Raze —_ _ Class of Const: Size Zoning R-1 _ Projection Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ ti i Finished/Living — Sq.Ft. Bedrooms Stories Canopies Signs Garage Sq.Ft. Baths Foundation • Poured Concrete 0 Floating Slab 0 Pier Other 0 Concrete Block 0 Post ❑ Treated Wood ----- Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required g #Dwelling Units 0 #Structures 0 Park Dedication Not Required - — _ _ - — ---- — Use/Nature SFR/Replace concrete driveway(20 ft x 25 ft)and interior sidewalk(3 ft x21 ft).{Work being done by All Ways Concrete)**check#2825 of Work HVAC Contractor __— Plumbing Contractor Electric Contractor --- Fees: Valu ion $2,500.00 Plan Approval $0.00 Permit Fee Paid _ $70.00 Park Dedication _ $0.00 Valu Date 10/04/2012 Final/O.P. 00/00/0000 Issued By: ❑ Permit Voided J Parcel Id#0613990700 Cautionary Statement to Owners Obtaining Building Permits 101.65(1r)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 dersta d the a ire sentio ed information. Date I�' 7 ' /P Signature � / � - Agent/Owner Address 2360 KINCAID AVE OSHKOSH — WI 54904 - 8012 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per e andyphof 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,WI 54903-1130 Cityof Oshkosh Oshkosh, (920)236-5050 J Fax:(920)236-5084 Building Permit Application www•ci.oshkosh.wi.ns Project 0,J / Q l /c � �v �� �c r /7` C1(�- Address Applicant Owner T Contractor Tenant Other(describe) Owner/ Name �t `�e4-' /ti� ��l 6rS6N Phone 29?0 .,a 77- do ‘3O Tenant Addresso23 6 o K tNea,tc/ /10G 4 Sk t'S 054 7 K7email Contractor Company Name 4// Z/Oc,y$ CoN c fF>f C., Phone 2,20 -37Y • 5 7(3---- 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 New Addition Alteration Project ;/ 4x/r o(d 51'c �,,,,ik e'ovd Q/',',J6 1.10,t y ® 4-(.7L ct/cic( Description _4//6 c e Cod c,/' 74 o, Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job a j�0( Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) 1` Payment by: Check # A B d,5 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 acknowledge and agree to these terms. Y7V- Name: /I t/LA i �.�p<$©� (Please print) Date: OC'� a Signature: 14 - 77 ' `"-- '