HomeMy WebLinkAbout0156714-Building (foundation repair) � CITY OF OSHKOSH No 156714
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 813 W 6TH AVE __ Owner MICHAEL A/JENILEE S EHLENBECK Create Date 07/16/2013
Designer Contractor BASEMENT REPAIR SPECIALITS
Inspector Nicole Krahn
Category 112-Foundation Permit Single Family Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-2 Class of Const: Size
UnFnished/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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/LATE PERMIT/Foundation Repair/Excavated the east,west and north foundation walls,straightened walls and installed beams to
of Work � upport the foundation walls,backfilled with stone per the attached scope of work. The foundation contractor is responsible for the
�esign and installation of the support beams.
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HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $8,950.00 Plan Approval $0.00 Permit Fee Paid $93.00 Park Dedication $0.00
Issued By: Date 07/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided, Parcel Id#0605160000
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 und an the f re mentioned informati .
Signature Date �'�'l�J
A enUOwner
Address 2194 S MEMORIAL DR APPLETON WI 54915 - 0000 _ Telephone Number 920-450-2757
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.
CITY OF OSHKOSH BUILDING PERMIT APPLICATION
For 1 and 2 Famil Homes
Owner's Name Mailing Addre� Phone No.
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Contractor's Name: Mailing Addre s Lic/Cert# P one No.
Iiyi2 4 �RO��-2��-1
Plumbin Contractor's ame: Mailing Address �ic,(C,�ert# (hone)o. �
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Electrical Contractor's Name: Mailing Address Lic/Cert# Phone Na
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HVAC Contractor's Name: Mailing Address Lic/Cert# Phone No.
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PROJECT LOCATION
�i ing Ad res � Subdivision Name Lot No.
Zoning District Setbacks: Front Rear Left Right
ft. ft. ft. ft.
PROJECT INFORMATION
CCUPANCY AREA CONST.TYPE STORIES NUMBER OF
Single Family Unfinished Basement sq.ft. �Site Constructed ROOMS
- wo Family ���Manufactured - 1-Story _ Bathrooms
`_Other Living Area sq.ft. C 2-Story
FOLJNDATION -Bi-level _ Bedrooms
Garage sq.ft. � - �'Tri-level
USE �oncrete
�Seasonal �(Masonry -Quad-level — Remaining
HEIGHT '1 Other Finished Rooms
" Permanent �Treated Wood
- ther Height of the Structure(from final grade to the peak !J Other
of the roo�
ELECTRICAL PLUMBING WATER BUILDING COST
Panel Size: Sewer Sale Price of the Project $ � ��/
�� 100 Amps �Municipal �Municipal Utility (Final cost of house,lot&labor)
-200 Amps �'Septic i!Private On-Site Well MINiJS
Service: Permit No. -
-Underground The Cost of the Lot $
�Overhead MINLJS -
HEAT LOSS The Cost of the Mechanicals $
Envelope Btu/Hr EQUALS =
The Cost of Construction $
Infiltration Btu/Hr (Fair mazket value which includes labor)
ENERGY SOURCE HVAC EOUIPMENT
�J Forced Air Furnace
Choices: Natural Gas,L.P.,Oil,Elec,Solid,Solar C Radiant Baseboard or Panel
[�Heat Pump
Space Htg ��Boiler
C,Central Air Conditioning
Water Htg �Other
APPLICANTS SIGNATURE: DATE:
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