HomeMy WebLinkAbout0157693-Building (basement repair) � CITY OF OSHKOSH No 157693
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1020 S SAWYER ST Owner HOPE H MARIN Create Date 09/12/2013
Designer Contractor ABT FOUNDATION SOLUTIONS INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building 0 Sign � Canopy � Fence � Raze j
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
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 SFR/basement repair to foundation wall
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,355.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: � Date 09/12/2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel Id# 1307430400
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 2100AMERICAN 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/pubiications/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: 09/12/2013 13:54 #998 P.001/001
City of Oshkosh
Inspection Sen•ices Uivision � :
P O I3ox 1 130 �
Oshkosh, «`1 54903-I f;0
Phone:(920) 23G-�OSO
Fax: (920)236-5084 O �K H
Building Permif Application- Addit6ons ��'�HF �h�ATFR
ll��or� crre a ronn•uclor•purlici a/iia in lhe Permit I-�ee :-tccou�a! Srs•lem ant! �rn��e ade ua�c a�nds c•heck J•�erer
i ��ou ir•anl rhis . rncessc�d rhroc� h �our uccnun[ '
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BI,ILD[NG CUNTRAC'I'OR �_�_��U Yle�O!"f"C� � C�T{�Sj����'LC
ELECTRICAL CONTRACTOR
PLI�MBING CONTRACTOR
HEATING CONTRACTOR
I am the: ❑ Owner OR ��-Eantractoc
USE CATEGORY
Single Family ❑Duplex ❑Rental
•:� Ful l description of work being done:
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Any work not included in this application is not nermitted. Please make sure to attach vour
Pian Submittal Checklist to this apnlication with all the required information.
Building Value af the job not including mechanicals $ S� :
PLEASE READ, SIGN. & DATE:
I cer•��the ahove infarmotion is complete and accu��ate. Any deviati��ns,frona the above submitted
rnformaliorr mav require additional permits to be obtained I acknoN�ledge unci n�;ree to these terms.
Name:�, �,��vt✓� ���•-1
(Please prinl :
Signature:
Date: �� � a �-�
:1/03