HomeMy WebLinkAbout0155634-Building (deck) � CITY OF OSHKOSH No 155634
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1816 HOLLISTER AVE Owner MARK D/MICHAELA B SCHUTZENDORF Create Date 05/14/2013
Designer Contractor OWNER
Inspector John Zarate
Category 043-Residential Decks _ Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
Zoning R-1C 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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Install 12 x 18 ft floating deck off rear of principal structure
of Work
HVAC Contractor Plumbing Contracto�
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $62.00 Park Dedication $0.00
Issued By: � Date 05/14/2013 Final/O.P. 00/00/0000
� ❑ Permit Voided I, Parcel Id# 1200340000
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 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 aforementioned information.
Signature %�.Q�fa�� Date 5/ly�1o1
AgenUOwner
Address 1816 HOLLISTER AVE OSHKOSH WI 54901 - 2742 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
� Cit, of Oshkosh Oshkosh,WI 54903-1130 :
� Phone:(920)236-5050
Fax:(920)236-508A
Building Permit Application �������.oshkosh.����.us
Project :
Addi•ess l�tL Flall�s�cr /�YC
Applicant wuer Couhactor TCI1�IIlt Odicr(describe)
Owner/ �;ame Na�K SehufundorP Phoiie
Tenant ____QaA-�4y.73�1 I
Address I�14 Hotl�s}er �Yt Email
Coutractor Company Nairie Phone
Coutact Email
Address
State Credeutial#'s
D��ellins Contractor Qualifier# Dwelling Contractor# Building Contractor Registration�
Achitect/ Company Naitie P�lOI1C
Designer
Contact Email
Address
Permit Type Resideutial Suigle Faiuil Resideutial Duglex Couuiiercial Multifaiiiily Indust�-i�l
Catagoiy New Addition Alteration
P►•oject LoW Icvt l dtrJC s�Ze t2�} bv �� het 4�Qcherl i� ha.�,�e
Desciiptiou
l2N a,bo�c, �r�
1�-� �p c�-wr.�c.�. d�c�—�' .q cu c�q� :
—T
Mechanical Sepa�ate pennits will Ue obtau�ed for die followuig:
Pei•mits Electrical by Plumbing by Heating by
�'alue of Job $ (Value for materials&labor is req.to rnsure consistency in accessing ptnnit fees for all applicants.)
Payme�it by: Check # Cash Peniut Fee Account
I certrf�the abore rnformation ts contplete mrd acc�rrate. Anr dei�iations fi•oni�he abore.srrbmrtted rnfar-nratran nrat reqrrir-e addrtiorral per�mrts
to be obtatned. 1 nckno�rledge m�d agree�o these ter�ns.
NuuC: MarK Sehu�ten� (Please pruit) Date: 5/{y/ap13
Signat�ue: �7'l�EO,QNfu�i`ey,d4�
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