HomeMy WebLinkAbout0157225-Building (bracing) � CITY OF OSHKOSH No 157225
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2125 JEFFERSON ST Owner BENJAMIN/DAWN PAEYENEERS Create Date 08/15/2013
Designer Contractor ABT FOUNDATION SOLUTIONS INC
Inspector John Zarate
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 0 Floating Slab � Pier 0 Other
� Concrete Block 0 Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature ISFR\See attached details-Bracing design is ABTs responsibility
of Work
i
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $22,000.00 Plan Approval $0.00 Permit Fee Paid $167.00 Park Dedication $0.00
Issued By: �►� Date 08/15/2013 Final/O.P. 00/00/0000
❑ Permit Voided�, Parcel Id# 1515740000
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 afore mentioned information.
Signature Date
AgenUOwner
Address 2100 AMERICAN DR NEENAH WI 54956 - 1004 Telephone Number 734-8653
* 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
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.
From: 08/15/2013 07:45 #983 P.002/002
City of Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,W154903-1130
Phone:(920)236-5050
Fax:(920)236-5084 �j/�'
Building Permit Application- Additions ON 7H\'JUF H
/lvou are a conlraclor narticrnatinQ in the Permit F�ee Accou��t Srclem oi�d hu��c� udequu�e /'unds chech heic
�I vnu manl th�s processed IhrouQh vour accvun! n
JOB ADDRESS �I�� $���,�;'\ ���-�
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OWNER�r�.Jv� �d��e-�:�� ��f�%P�u"i ��', �i«�
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BUILDING CONTRACTOR Q ., c?.r� __ �OtC.�;'�rt�Y'LC ,
ELECTRICAL CONTRACTOR
PLUMBING CONT'RACTOR
HEATING CONTRACTOR
I am the: ❑ Owner OR �Contractor
USE CATEGORY
R�Single 1=amily �Duplex ORental
•'• Fuil descri tion of work bein done:_ � f � � �:
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Anv work not included in this annlication is not permitted. Please make sure to attach vour
Plan Submittai Checktist to this annlication with all the repuired information.
Building Value of the job not including mechanicals $ � �t7�j
PLEASE READ, SIGN.& DATE:
1 certify the above rnfnrmalion is cnmJ�lete and accurale. Any cleviatians.fi�om lhe abol�e submilled
information may regui�•e addi>ronal permits !o be obtai��ed. 1 ncknvu�ledge nnd agree �o /he.ce �er►»s.
Name: t:� � � �
(Ple e prinU
Signature: '' �-
Date: �bI C�/ ( �1
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