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HomeMy WebLinkAbout0154594 - Building CITY OF OSHKOSH No 154594 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 850 W 12TH AVE Owner JEFF BARTELS Create Date 03/01/2013 Designer tOM kARRELS Contractor JRB VENTURES LLC Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type • Building 0 Sign 0 Canopy O Fence 0 Zoning R-2 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 0 Concrete Block 0 Post O Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature SFR/Interior repairs*To include reframing exterior walls and laying out new walls for rooms on the 1st floor and replace the existing stairs of Work to the 2nd floor. HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $30,000.00 Plan Approval $0.00 Permit Fee Paid $195.00 Park Dedication $0.00 Issued By 97bk' D ate 03/01/2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1303270000 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. *140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf 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 vnderstand the aforement" ed infor ation. Signature Date 7 3-/ -/3 Agent/Owner Address 1920 W WAUKAU AVE OSHKOSH WI 54902 - 9036 Telephone Number ISSUE NO PERMITS 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.