HomeMy WebLinkAbout0155574-Building (fence) � CITY OF OSHKOSH No 155574
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1124 MERRILL ST Owner STEVEN L HOOK ETAL Create Date 05/10/2013
Designer Contractor OWNER
Inspector John Zarate
Category 251 -Fences Plan
Type � Building 0 Sign � Canopy � Fence 0 Raze �
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature RES//Install 50 feet of 6 foot solid wood fence in rear yard per site plan submitted "check#3598 �
of Work
- --.�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $940.00 Plan Approval $0.00 PermitFee Paid $52.00 Park Dedication $0.00
Issued By:�'�n Date 05/10/2013 Final/O.P. 00/00/0000
❑ Permit Voided'I Parcel Id# 1007840000
Cautionarv Statement to Owners Obtaininq Buildinq 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 goveming 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 s�understand the afore ntioned information.
Signature Date � l b j
AgenUOwner
Address PO BOX 212 WINNECONNE WI 54986 - 0212 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.
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❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
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Project Address: ��� ��+�r��l ��' Circle one: Single Famil Duplex
O�ner's 1�Tame:S'l QU 2Y� ''I ,lQ`c ►,�c r� 1-l�Ok Daytime Phone#:Q�C�-5�8�-��C S�-(
Contractor's IvTame: Daytime Phone�:
If the contractor is applying for the permit provide the following:
Ihvellin�Contractor� Contractor Qualifier#
*TI�E�sc�hro c�c�rlellll[7IS(7YE'requir•e�l ln�the.S'tr�tc��f}T iscorrsi�►S�7fC1'1'Cl11CI Bf/lIlTIII�S DIl'IS1077 fU)"C/111'COII/T'17C1()1'S
corrcl�a�ti7ra�rv��rnr rc�si��c�uti��l prv�x>>t1�
Value of the project including labor and material costs � q �-1 C3 � b�
��18 1'CII!/E?.f07'�UIIf 11lRtBT'll7JS p11(7�IClIJOl'7S l'f'ClNI)"Pl�/O E'I1S11?Y'CD1lS1SfE'l!C'7'1)!ClSSE'S.S717r�E'171111 f'PS fUl'l7IT(7��I1C1777rS
c�z�r�if ivrr'�c�<�oi»g t om•rniy►�r���. _-�ger�er�il r•!de�rtlrrm�b is t�donbk�the nkrtc�ric7l cost or prrn•ide nu c>stinrntc>
fi��»�7 colm•i rct�r.
Full description of the�vork being done:
C��e c:-k- �p � o-� js � 1°Z�o,h so 1�ol W o ool p� �v c�c.� �e rc�
C� (orc� �\.e 10� ��v�.e o� ��rt-e �P.a� y ard, ._1'1�.� -� e�c �
W �t` �pz qp(��roK Co �� �r ���� �-e �O� \��e. .
�in,y w-ork not noted on this application will not be included on the perniit!
The following doeuments are attached to this application:
�S ite plan � Applicable fees
Please read the follo���ing and sign and date this application prior to applying for the building perniit.
I ce�rti�S•tlre��bo�•c� ilrfo�7ilc�tro�� is co»►�letc�cn�c�c�ccrirc�te�. .-�n•�leric�tious fi•ont tl�e nbol�c�sr�bn�rtrec� :
i�forn�c�tion n�rn�reqrnrc�cu�clitioncrl ren�re�rs rnu�pc��7l�rts t�be �btctine�l. I crc�7�o�rlec�tre cn�c�c�grc�e to tlu�se
tc�nirs.
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Signature: �Cx3'�- Date: �� �U � I 3
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