HomeMy WebLinkAbout0156992-Building (excate & straighten bowed basement) � CITY OF OSHKOSH No 156992
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 689 S OAKWOOD RD Owner DANIEL L BERG/R A SCHAEFER Create Date 07/31/2013
Designer Contractor RAISERITE FOUNDATION PIER SYSTEM, INC
Inspector John Zarate
Category 112-Foundation Permit Single Family Plan
Type � Building � Sign � Canopy 0 Fence � Raze �
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!excavation and straighten bowed basement wall with steel tubing per WAFRP standards
of Work
'ck#1150**
� II,
HVAC Contractor Piumbing Contractor
Electric Contractor
Fees: Valuation $6,750.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: �pt. Date 07/31/2013 Final/O.P. 00/00/0000
�~ � Permit Voided I Parcel Id#0654310000
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 wi in an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to s�re any nece sa approvals before starting such activity.
I have read and ulnd�rstand the mentioned i formation.
Signature /L� Date �
Agent/Owner
Address P O BOX 1054 MANITOWOC WI 54221 - 1054 Telephone Number 920-684-8515
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
� l.l{-y �f OS(���S!� Oshkosh,WI 54903-1130
� L �L Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �W���.oshkosh.w�.�s
Project :
Address �� � v U c..lc."�,�;�;� �� . QS��`J� � ��
Applicant Owner o rartt ctat� Tenant Other(describe)
Owner/ Name �G � �C,(`Gi Phone �R Za �l� �- .j� �
Tenant -
Address �0 �� 5 d��C,w�cc� �� Email ,� , � Q � C � cO
Contractor Company Name�C�,i S� �.�� � Phone___�� �(o �/' �s�j
Contact �'�,()�? ��G��p,Q� Email G�Gt,U� C I�q.i3 L' -Y'� t� �C�p rr�
Address ��h. �0r��{' �Gt w��c��..30C . �� 5`� Z2 �
State Gedential#'s a �(Q � � � L`—�, }�7 d [ S� ,
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 Alteration
Project � �, �` .� J �
Description `�`� °
b���..� �, �� �:
pe,r � ,�-�� �� � o�c-c� s ,
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job / `j�
$ (,� ,�7,5� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) '
Payment by: Check #�� Cash Permit Fee Account
I certify the above information is con�plete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: D(�;'e, C(���•JL✓ (Please print) Date: �_I�1 ��
Signature: