HomeMy WebLinkAbout0153793 - Building (add awning) CITY OF OSHKOSH No 153793
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 519 521 N MAIN ST Owner MARILYN J BACKUS Create Date 11/27/2012
Designer Contractor OWNER
Inspector John Zarate _
Category 205-Alteration Amusement,Social, Recreation Plan
Type • Building 0 Sign 0 Canopy O Fence O Raze
Zoning C-3D0 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 0 Floating Slab O Pier 0 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 Comm/Tavern/Add awning*to the rear of the building in the area of the new patio.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation j $2,500.00 Plan Approval $0.00 Permit Fee Paid $64.00 Park Dedication $0.00
Issued By 6 V ' ' Date 12/03/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 0700320000
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 •-rmit application within an easem-nt,the City strongly urges the permit applicant to contact the easement
holder(s) --• • se• re any necessary approvals befo - starting such activity.
I have road an• u d:rstand t afire I -tion.
I
Signatur= Date
Agent/Owner
Address 1529 W 6TH AVE OSHKOSH WI 54902 - 5504 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.
it)4
PO 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 51q Worth /t(1111(ac,n Street (Rear&ntry)
Applicant Owner, Contractor (Tenant) Other(describe) /�
Owner/ Name kendal !i, Koch Phoneg20,235,4RR0
Tenant I- J /
Address 651 Central Street Email maanethtlltareOhoimattwwm
Contractor Company Name hgent Of Owner Phone q20-235-4RR0 •
Contact kendal koch otmaidcom_
Address 651 Central Street
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 CCommercial Multifamily Industrial
Catagory New Addition Alteration
Project Add Decorabire steel l4wning in back patio/bar area, 4ccent will be
Description
added to the under Side ihe awning,
Mechanical Separate permits will be obtained for the following:
•
Permits Electrical by JP 8lectr/c Plumbing by 41/4 Heating by W/4
Value of Job $ 2,500,00
(Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certibr 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: kendal D koch (Please print) Date: 11-27-2012
Signature: