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Home My WebLink About0155580-Building � � CITY OF OSHKOSH No 155580 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2009 JACKSON ST Owner STD PROPERTIES LLC Create Date 05/10/2013 Designer Contractor OWNER Inspector John Zarate Category 232-Alteration Stores 8 Customer Service Plan Z4-3738-0413 Type � Building � Sign � Canopy � Fence � Raze � Zoning see ma Class of Const: 36 Size Unfnished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I : Finished/Living Sq.Ft. Bedrooms Stories Canopies Garage Sq.Ft. Baths Signs Foundation � Poured Concrete 0 Floating Slab � Pier � Other � Concrete Block � Post 0 Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required Park Dedication Not Required #Dwelling Units 0 #Structures 0 Use/Nature OMM/FAST N EASY PAWN SHOP/Tenant Alterations per the approved plans. of Work � � HVAC Contractor UNKNOWN??? Plumbing Contractor UNKNOWN Electric Contractor UNKNOWN???? Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $1,548.00 Park Dedication $0.00 Issued By:� ,�'�--�- Date 05/10/2013 Final/O.P. 00/00/0000 � ❑ Permit Voided i Parcel Id# 1219090000 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 famiiy 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 a seme t,the City strongly urges the permit applicant to contact the easement holder(s)and to secure any nece a r als ore starting such activity. I have read nd derstand th e one ation. Signature Date AgenUOwner Address 1275 APPLETON RD MENASHA WI 54952 - 1501 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. . P O Box1130 � l...1-1�-y �f OS��S� Oshkosh,WI 54903-1130 � L Phone:(920)236-SO50 Fax:(920)236-5084 Building Permit Application ��.oshkosh.W�.�s Project �� Address �Q�9 � A G�S C�`f1 �r Applicant Owner Contractor Tenant Other(describe) Owner/ Name �-A 5 T � ��A S l, TII� L Phone '�j a0- �5 v -'gg�ef Tenant Address vZ4�`� �I /�1 GLs 6 n S 7'� Email J�'/a/G�ia S C� �Oa• Contractor �� Company Name � Phone Contact Email Address State Credential#'s , , Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name !o M A/L/`�� Phone Designer Contact Email Address Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration Project Description / � o�9r� �as�rn ,f��1» w r�� So�n GI/,4�,1- �e•�►'�o✓-C S � Mechanical Separate permits will be obtained for the following: Permits Electric al b C i Cu �1�� Plumbing by Heating by Value of Job $ �f� Otxl. ��e 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 requir�e additional permits to be o t ined. I ac wledg and agree to these terms. Name: �t'r/ / � t'� (Please print) Date: Signature: