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Home My WebLink About156850 Building � CITY OF OSHKOSH rvo 156850 OSHKOSH BUILDING PERMIT = APPLICATION AND RECORD ON THE WATER Job Address 2460 SHORE PRESERVE DR Owner ANDREW R/LAUREN A CLAYTON Create Date 07/23/2013 Designer Contractor OWNER Inspector John Zarate Category * 140-Interior Remodeling Plan Type � Building___ _� Sign � Canopy � Fence � Raze _� Zoning R-1 PD ___ 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 'SFR1 Completing basment living area. Framing done by Schmidt Bros.-floor plan previously approved-plans on file of Work HVAC Contractor MCM AIR INC Plumbing Contractor HOMEOWNER Electric Contractor HOMEOWNER Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00 Issued By: —��7`� Date 07/23/2013 Final/O.P. 00/00/0000 t ❑ Permit Voided I Parcel Id# 1281030000 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 buildings 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 to secure any necessary approvals before starting such activity. I have read and und,e�rstand the afor e ioned information. i . signature, 3 ' k Date � I Agen wner Address 2460 SHORE PRESERVE DR OSHKOSH WI 54904 - 7790 Telephone Number 920-993-1520 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 n, 1�.l S}1.E-�l � CU�.,"� C� �c��l'Yll1�v�— 1 � i,l" �,2�Q`- � i � � � ' � 1 � . • � • • � � - � � • ❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would like this permit processed through your account. n � " Project Address:pf�ll[ �� 5�� (`e.SP�� Circle one: mgle Fami Duplex Owner's Name• � L-L�C�Y�I'? �� `YL_� Daytime Phone#: �o�L� �� `� � Contractor's Name: ��1'�,�Q./�� Daytime Phone#: If the contractor is applying for the permit provide the following: Dwelling Contractor# Contractor Qualifier# *These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors conducting work on residential property. � Value of the project including labor and material costs $ � � � I b ��QQ(� G *The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants even ifyou're doingyour own work. A general rule of thumb is to double the material cost orprovide an estimate from a contractor. Full description of the wark being done: p a, t�USI�.�q `�cu�- � —k"l�.� ��.evwtiv�— r 11 U'�� G(i21�� Electrical Work is being done by: ��}��, Plumbing Work is being done by: Lc�1�;� Heating Work is being done by: y'��1�f'Yl Ut E ,;;. Any work not noted on this application will not be included on the permit! The follawing dacumerits are attached ta tlais application: ,._ , ,. �. , � �c��2�ets of Framm Plans �� `� A � licable�e�� , � . , � � . � � � g pP � �s ; �� Please read the following and sign and date this application priar to applying for the building permit. I certify the above information is complete and accurate. Any deviations from the above submitted in�ormation may require additional reviews and permits to be obtained. I acknowledge and agree to these terms. Signature: �LL Date: / "o'��'�� 4 ��/�% 1/25/2011 �