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Home My WebLink About0155684-Building (3 doors & 8 windows) � CITY OF OSHKOSH No 755684 : OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3112 BELLFIELD DR Owner TROY W CHRISTIE Create Date 05/17/2013 Designer Contractor OWNER Inspector Nicole Krahn Category 040-Windows Plan Type � Building � Sign � Canopy � Fence � Raze I Zoning R-1 Class of Const: g�Ze 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 0 Other 0 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 SFR/REPLACE(2)ENTRY DOORS,(1)PATIO DOOR AND(8)WINDOWS-NO SIZE CHANGES-NO STRUCTURAL CHANGES of Work check#5553 HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $13,000.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedication $0.00 Issued By: Date 05/17/2013 Final/O.P. 00/00/0000 v ❑ Permit Voided i Parcel Id# 1381260000 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 foliowing 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 governing the described construction. While the Ciry 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 se u e any nece sary provals before starting such activity. I have read and d rstand the�ore n ned information. S l� J13 Signature Date �� AgenUOwner Address 3112 BELLFIELD DR OSHKOSH WI 54904 - 9111 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 Box 1130 � Cit1 of Oshkosh Oshkosh,WI 54903-1130 � Phone:(920)236-5050 Fax:(920)236-5084 Building Permit Application W�'•ci.oshkosh.wi.us Project �'' � �/ ��)�� n� Address � I J Applicant Owner Contractor Tenant Other(describe) Owner/ Name T�D� £� �n�G�T.i�- Cj}�"�IS�� Phone q2U - Z3Z-5�V Z Tenant Address 3��z 1��(,.L.FI�,L�O ,SH I►i1�SH Email 11 G�I G�.00 Contractor Company Name ��GE ►N� �,nnP2vu�w,�►5 Phone q� �gg - Z�g Contact �� Pr�'�t Email Address��.311 � �(+� E ; 6Ue,��n- . (n}� 53q ZZ State Credential #'s , , I 133 gq5 Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address Permit Type esidential Single Family� Residential Duplex Commercial Multifamily Industrial Catagory New Addition teration Project Description ��PC�tC� DDD►2S � �L�DGJ S e.n doo�� ;n d�s a. ` �oor Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ ''?,'�p 0"� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # Cash Permit Fee Account !certify the above informatlon is complete and accurate. Any deviations from the above submitted rnformation may require additional permrts to be obtained. l acknowledge and agree to these terms. Name: � � ��S�E (Please print) Date: � Signature: 'l�