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HomeMy WebLinkAbout0155543-Building (foundation repairs) . � CITY OF OSHKOSH No 155543 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 905 OSBORN AVE Owner BRYAN J REINKE Create Date 04/30/2013 Designer Contractor BASEMENT REPAIR SPECIALITS Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence � Raze I Zoning R-1 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 � Floating Slab � Pier � Other � Concrete Block � Post � Treated Wood Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Pertnit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature SFR\Foundation repairs to include excavating a portion of the basement walis,straighening the walis, installing support beams and of Work backfilling with stone per the attached contract. The contractor is responsible for the engineering,design and installation of the support beams. I � HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $7,460.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00 Issued By: ��� Date 05/09/2013 Final/O.P. 00/00/0000 —�- ❑ Permit Voided� Parcel Id# 1310130000 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 afore mentioned information. Signature Date . AgenUOwner Address 2194 S MEMORIAL DR APPLETON WI 54915 - 0000 Telephone Number 920-450-2757 * 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 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. . CITY OF OSHKOSH BUILDING PERMIT APPLICATION For 1 and 2 Famil Homes Owner's Name Mailin Address Phone Na � � � �)��IX�II�I'' Contractor's N e: � �iling Address p,�����f�} � Lic/Cert� Ph�No. ' [.J �I 5 ' , t �x��,, J � i j � �_� ( ) ' S Plumbing Contracto s Name: Mailing Address Lic/Cert# Phone Na � ) Electrical Contractor's Name: Mailing Address Lic/Cert# Phone No. � ) � HVAC Contractor's Name: Mailing Address Lic/Cert# Phone Na � ) PROJECT LOCATION Building Address Subdivision Name Lot No. Zoning District Setbacks: Front Rear Left Right ft. ft. ft. ft. PROJECT INFORMATION OCCUPANCY AREA CONST.TYPE STORIES NUMBER OF �Single Family Unfinished Basement sq.ft. �Site Constructed ROOMS -Two Family 'Manufactured C 1-Story _ Bathrooms -Other Living Area sq.ft. �2-Story FOUNDATION �-Bi-level _ Bedrooms Garage sq.ft. "Tri-level USE Ll Concrete �' uad-level Remaining -:Seasonal [-I Masonry ` Q Finished Rooms �?�Permanent HEIGHT �Treated Wood �Other -Other Height of the Structure(from final grade to the peak ;`,Other of the roo� ELECTRICAL PLUMBING WATER BUILDING COST � Panel Size: Sewer Sale Price of the Project $ =� 100 Amps �-Municipal �Municipal Utility (Final cost of house,lot&labor) I �200 Amps u Septic ��private On-Site Well Service: Permit No. MINUS - �Underground The Cost of the Lot $ �Overhead MINLJS - HEAT LOSS The Cost of the Mechanicals $ Envelope Btu/Hr EQUALS = The Cost of Conshuction $ Infiltration Btu/Hr (Fair market value which includes labor) ENERGY SOURCE HVAC EOUIPMENT '_�Forced Air Furnace Choices: Natural Gas,L.P.,Oil,Elec,Solid,Solar ' l Radiant Baseboard or Panel CJ Heat Pump Space Htg C_�Boiler C'Central Air Conditioning Water Htg C Other APPLICANTS SIGNATURE: DATE: � � �r n I I � ' lU OS/OS