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Home My WebLink About0157629-Building (replace concrete) � CITY OF OSHKOSH No 157629 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 0 DIVISION ST Owner STAPEL PROPERTIES LLC Create Date 09/09/2013 Designer Contractor OWNER Inspector John Zarate Category 257-Commercial Parking Lot/Driveway Plan Type � Building � Sign � Canopy � Fence � Raze I Zoning Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j 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 Not Required Park Dedication Not Required #Dwelling Units 0 #Structures 0 Use/Nature ICOM/Replace 780 sf of of existing concret with new concrete on 5075 sf lot "check#7898 of Work � � I HVAC Contractor Plumbing Contractor Electric Contractor Fees: Val tion $3,750.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00 Issued By:�7�(/� Date 09/10/2013 Final/O.P. 00/00/0000 ❑ Permit Voided ', Parcel Id#0701240000 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. 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 s re any necessary provals before starting such activity. I have read and derstand t nti ed information. Signature Date � AgenUOwner Address 27 N MAIN ST OSHKOSH WI 54901 - 0000 Telephone Number VACANT To sche � e 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 Box1130 � l�ll,y �f OS��s� Oshkosh,WI 54903-1130 � Phone: (920)236-5050 Fax:(920)236-5084 Building Permit Application WWWci.oshkosh.W�.us Project Address b CJ i U�s,orv St.- Applicant Owner Contractor Tenant Other(describe) Owner/ Name �� i -�- Phone 7i3 Fj �,3� r 0 Tenant ' Address__��'�• �.� �S �o S � Email �� Vl.� ,. �� ' Contractor Company Name ��.w � � �dlt�.� c° Phone � Y�� 6 � Contact � Email Address L 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 ommercial Multifamily Industrial Catagory New Addition Alteration Project �� Description l,/ e . Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by : Value of Job 1 j� $ � / ��/ (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 complete and accurate. Any deviattons from the above submiued information may require additional permits to be obtained. 1 acknowledge and agree to these terms. Name: (P1ease print) Date: Signature: