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Home My WebLink About0155999-Building (patio expansion) � � � CITY OF OSHKOSH No 155999 � f OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD " ON THE WATER [� Job Address 1537 BISMARCK AVE Owner ORSON S WILLARD Create Date O6/05/2013 k Designer Contractor OWNER Inspector Adam Krause Category 044-Residential Patios Plan Type � Building � Sign � Canopy � Fence � Raze I :' fr Zoning R-1 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 f � Concrete Block � Post � Treated Wood – Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature FR\Expanding existing patio per submitted plan, not increasing dimensional nonconformiry. of Work �ork by Cloverleaf Landscaping I HVAC Contractor Plumbing Contractor —_ Electric Contractor ` Fees: Valuation $4,979.80 Plan Approval $0.00 Permit Fee Paid $90.00 Park Dedication $0.00 ' Issued By: � Date 06/05/2013 Final/O.P. 00/00/0000 ❑ Permit Voided j Parcel Id#0611120000 f Cautionarv Statement to Owners Obtaininq Buildinq Permits 101.65(1 r)of the Wisconsin Statutes requires municipafities that enforce the Uniform Dwelling Code to provide an owner who applies for a building permit with a statement advising the owner that: f 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. � � t 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 informatio1n. Signature `�Q�v�,c,c,, �_� ��\c�.�--ci Date � ,,�j'- � 3 AgenUOwner Address 1537 BISMARCK AVE OSHKOSH WI 54902 - 5512 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. 6 f P O BOX 1130 � � �l� � OS��OS� Oshkosh,WI 54903-1130 � y ,f Phone:(920)236-5050 � � Y F�: (920)236-5084 g Building Permit Application WWW��.oshkosh.W;.�s t E Project c� `- ( / Address l S 3� � LS c�c�.'�C� lNv-� '—" �� `��,�Cp S '"l Applicant Owner Contractar Tenant Other(describe) � € Owner/ Name �1 � Phone�o�d •-��Z`�73 7 t �� Address �� LS tizs,C�.��C Email `-- Contractor Company Name C5 Phone Contact Email Address 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 � �,� ��`C� "� Description Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ .1.4G"?� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # a Permit Fee Account 1 certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits to be obtained. I acknowledge and agree to these terms. Name: QY`C �� (Pleaseprint) Date: �9 —S I3 Signature: � �