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Home My WebLink About0156311-Building (foundation repairs) � CITY OF OSHKOSH No 156311 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1740 GEORGIA ST Owner WALTER E ZEMKE Create Date 06/20/2013 Designer Contrector OWNER 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 0 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\Foundation repairs to 25'of north wall include excavation and straightening with 3 L beams,bolts through wall,bracing as needed of Work `The City of Oshkosh is not responsible for engineering approval.All work to meet current code requirements HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00 Issued By: Date 06/20/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 1405870200 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. *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 buiidings see the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf 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 o sec e any necessary approvals before starting such activity. I have read an u rstand t mentio ed information. Signature Datf 2� 13 Agen Owner C ,1 �� `'t' Address 9416 W CENTER ST MILWAUKEE WI 53222 - 4521 Telephone Number �, �— � Z 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 � �'lt-�/ �f OS�fG�slL Oshkosh,WI54903-1130 .J .J Phone:(920)236-5050 � Fax:(920)236-5084 Building Permit Application �W��•oshkosh.W�.us Project Address �� Gt��Gt�': �-d��,C� 0�-=,.��,OSI`�� , �r-�-�� ! Applicant Owner Contractor Tenant Other(describe) Owner/ Name �9 1�L.�� 2C,i�(\��t_. Phon� �� j ~1��—�C1 Z.q Tenant Address q�� (JJ, �•� 'r � ��. ��-��i Email r�ncP� Z,em��"� 1�;'tT; ��t 0 Contractor `m� � ' � � Company Name ` 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 �'T�+}��1.`��,r1.C� ��,�� t'`��,'i�� CJ�� '� Q'�' " � `.."` ��d�,�J, i2. �� O(`�.J� Description �Q1..lt`,s.. , G(��, 1).)�LL. �,� ?.�` —�� f�fi`'� �n�� `�� " � � .., , �t�'\�� 4,;� r;�, �`� � �1)�� `.-+..� �'��.�'E'i � �i'i.��. i�. ".�3��'�� l1 <<j ��►,�, ',�„�E ati�� *�,� ';'� 1'�✓r � � V+�` � ` � � -a �V �'�. �� .�.�� . { „ n �`J� �:� , �'..1 i I l-- �J��-'-�4 i J � `�i �F.�I ��9\ �,`� �.4 Z..�J��\.'Z. '"c'�C� `-i,`�. 'JJ'�y�.�, '�'.1 �';Ji�`�:'�,�/ 'JU � ''f� �C`'r�:%�.�� '�- '� =�-', Mechanical Separate permits will be obtained far the following: Permits Electrical by Plumbing by Heating by Value of Job ! q �:=� "' t� $ ✓� '.�..��✓ ��'��Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # Cash Permit Fee Account 1 c ti above information is complete and accurate. Any deviations from the above submitted information may require additional permits to b obtai ed. I a ,w�ledge and agree to these terms. � y`� /� Name: j� f (Please print) Date:�a� )��>�,,,,� ��'� ��✓�'�J Signature:�-��--.`..�\�., '_:�.;.��i'�,:�