HomeMy WebLinkAbout0153804 - Building CITY OF OSHKOSH No 153804
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 505 AVIATION RD Owner DENNIS MOEHN Create Date 12/03/2012
Designer Contractor OWNER
Inspector Nicole Krahn
Category 240-Commercial Accessory Structures - Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning _ Class of Const: Size 2160 sq ft
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 0 Pier 0 Other
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 1
Use/Nature COMM/Hangar*New 45 x 48'x 12'Hangar.All work shall comply with applicable building codes and manufactures design. "check
of Work 1242
HVAC Contractor Plumbing Contractor
Electric Contractor STUMPF ELECTRIC INC.
Fees: Valua ' n $... ,966.00 Plan Approval $50.00 Permit Fee Paid $238.00 Park Dedication $0.00
Issued By:
(./
Date 12/04/2012
Final/0.P. 00/00/0000
❑ Permit Voided Parcel Id#
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.
Signature — Date /,2Vy/.Lc2/,�
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number HANGAR
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.
Ceit P Box 1130
5
City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
1"iir.) Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project / /
Address sO.,j ic[Ji�7`1dn AA) O•S//,&7,5 GI/I .c- '0..3
Applicant Owne Contractor Tenant Other(describe)
Owner/ Name /� Phone 920_ "2-
Tenant
ei»�;S den r / )
Address /�j 3 �?—./ , Gi'n J7/ Email/7')c.eA,-► ;SG,. Edl>
Contractor Company Name 44,,E gPG„�,,,;, c god eci L L r.„. Phone ���- ��� �Q/�
Contact ,CJ&An/:S S7eZ ,7 P Email/i i,..1 eq;n co CJigD�.Gor).
Address 9V? % /�a„� bey/ Ka 1 0t,�Cc, WJ _ 4'/31J2
State Credential#'s /.20 x2)7 , P337( 7 ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name /7, 7/5-1 p7�-J9.'9
Designer nJ`°ir�eP,n�,' Phone / 1
Contact ,/, ---/7/ ;�/>.Shee Email p�,�u.S/�ee pi�-i.`di.,,«-7/ina,t,-atiw,
Address S73// k�,,,e K e) �G t> 6/a/„-e, 4/5 S Y703
Permit Type Residential Single Family Residential Duplex Commercia Multifamily Industrial
Catagory New Addition /Alteration `J
Project ni'/•Gz-a�� l`7”qn 4 a/` 4/3---,4 7 P,4 /02.
Description J
Mechanical Separate permits will be obtained for the following:
Permits Electrical by ,,S74vnf,iaz:/i•4., Plumbing by 1// Heating by /j//
Value of Job $ 9' LTG L ab (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 be obtained. I acknowledge and agree to these terms.
Name: 0e,,,,-),'S //3C7eL, (Please print) Date: /a/.d
/2�/oZ
Signature: �—��-, <�, l l lvt� �