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� CITY OF OSHKOSH No 155661 `
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 522 W 10TH AVE Owner ERNEST R SPAEDTKE Create Date 05/14/2013
Designer Contractor VIENOLA BROS CONSTRUCTION INC
Inspector Nicole Krahn
Category 112-Foundation Permit Single Family Plan
Type � Building 0 Sign 0 Canopy _ � Fence 0 Raze I
Zoning C-3 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
0 Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain _ Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature �SFR/Replacing 22'of the northeast comer of the block foundation walls(installing new draintile). Replace existing porch structures on �
of Work ide and rear of house as part of foundation repair work. �
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $20,000.00 Plan Approval $50.00 Permit Fee Paid $160.00 Park Dedication $0.00
Issued By: Date 05/15/2013 Finai/O.P. 00/00/0000
❑ Permit Voided;' Parcel Id# 1300170000
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 ppli tion wi ' ent,the City strongly urges the permit applicant to contact the easement
holder(s)and to secur any n s ary approv s before starting such activity.
I have read and unde tand t ore me ' ed informa' .
Signature Date -� �� l3
AgenUOwner
Address PO BOX 3306 _OSHKOSH WI 54903 - 3306 Telephone Number (920)303-0934
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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� �'lt- 0 OS!�fG�s!L Oshkosh,WI 54903-1130
y ,f Phone:(920)236-5050
� Fax:(920)236-5084
Building Permit Application �W��l.oshkosh.W�.us
Project . ��� �� �
Address -� 1�
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Phone
Tenant
Address Email
Contractor Company Name V���U�� `��.�� Phone �7�1 �-�3-2
Contact /,�f�IT �� Email IY1 I"'�/L�d l�'!'
Address l(Q�� ��q,���1'�f-�
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project a t2 � � GfY� �/1�L-s� G���'�I �c�C- �
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �— °'v
$ ��,��' (Value 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 require additional permits
to be o ine . I acknowledge nd agree to these terms.
Name: �'�!`f' �� (Please print) Date: !y j�
Signature: