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0154232 - Building (1st floor remodel)
CITY OF OSHKOSH No 154232 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 215 CHURCH AVE Owner CITY OF OSHKOSH Create Date 01/21/2013 Designer Contractor OWNER Inspector John Zarate Category 226-Alteration Public Works, Utilities, Municipal Plan Type • Building O Sign O Canopy O Fence O Raze Zoning C-3 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 0 Other 0 Concrete Block O Post O Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units _ 0 #Structures 0 Use/Nature COMM/1st floor remodel*of the OCMS remove a wall to create a hallway to existing office and close in a doorway from the hallway to of Work existing office. III ------ --- - --- -- ------ --- —---I HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $0.00 Park Dedication $0.00 Issued By: Date 01/21/2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 0701410000 Cautionary Statemen 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 approval fore starting such activity. I have read and unJrstaand the aforelpe,tion formation. Signature s ) Date Agent/Owner Address PO BOX 1130 OSHKOSH WI 54903 - 1130 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. NISNO'JSUN•HSpxNSO Z7R8'9Z7'0Z6 i ; DZVV'9Zv'az6 d -0N!DNIMVHa .3Av HosnHo swa 146,'9 IM`gs0Vs0 ? 'PIS QwO811V V£61 �lOZ:31 FW os ztm 1■ JS.W .. .. _ 'ON J33roW a z - ¢ o z Q � a lu �0t9 N WW -� 3: ■ -� Q)U C4 o a LU 0 z - dLL x �- LLI WI m as 0 Lu _j z = Q ui 0 �F- p Q5 ¢ � [S} Z_ LU W N z I 1L CL U W 00 ---� W 4 i) HiXir Z U x W (D (D C9 0 OW x z�C)G) �Wa? z L JU ci c] U U-luWN J 13 13 W HnZ$ Q I I aj � II �Uj JUG Quern Wa ; UtLCO x Lo ?- — s N U c7 M IM 4 Q U = [L o r ez r W • x^ `^ U a W t� 0 I j:�," Z I u W�cv Q!� JW ' .J x }- x I WU') � - Z x N d Cq • U • 0 �. O "w Q U p cs� 0 O ev �_ IL W U • W[ © z a4 4. W " .. x C? 7 N Q W W U,) ZW W I-4N 4 :D o�a) °°n W E x UN`s 7 J� -J cv U Z �CJI x Z W W W�7 "i3Ndcf (D W � "1 Z IE.i W Z Q IL F-- i Z J O [t? O x w d W W` Q W W` O Gt%UUN •UUN D D U x W`�'`�x U >1L >IL z iL_ l Z IL Q W W U ' W W p 1 0 nd-��L