HomeMy WebLinkAbout0158199-Building (new slab for new bleachers) � CITY OF OSHKOSH No 158199 �
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 375 N EAGLE ST Owner OSH AREA SCHL DIST WEST HIGH Create Date O6/17/2013
Designer Brad Jodarski Contractor OSHKOSH AREA SCHOOL DISTRICT
inspector
Category 205-Alteration Amusement,Social, Recreation Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-1 C�ass 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 0 Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature COMM/Remove existing bleachers and install new concrete slab for the new bleachers at"Peppler Field"fronting Taft Avenue per
of Work submitted plans for Oshkosh West High School. A seperate permit will be required for the bleachers once they receive state plan
iapprovaL
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HVAC Contractor Plumbing Contractor
Eiectric Contractor
Fees: Valuat'on $3,000.00 Plan Approval $0.00 Permit Fee Paid $251.00 Park Dedication $0.00
Issued By: Date 10/11/2013 Final/O.P. 00/00/0000
� Permit Voided', Parcel Id# 1608720100
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 secure any necessary approvals before starting such activity.
I have read and understand the aforementioned information.
Signature Date
AgenUOwner
Address PO BOX 3048 OSHKOSH WI 54903 - 3048 Telephone Number
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.
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� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application �'N'�'•ci.oshkosh.W,.�s
Projecc /. r ! / '
Address �Sjnl�^�sr� WB�i�" �j�(�t ��to�/ 37S /l/�• ERS� �' �S`t1�1'L
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name DtNk�,cb� (►����i- ����, l��e��-1— Phone �i24-4e�'-r"o1�(�
Tenant ��: ��►-�' ''..r��k' brad. "�a�k�,'e-oStnkos�. K/cl_.
Address�'?S /t!- �q�� S1�'. Email J '�•�f ?
Contractor Company Name � Phone
Contact Email
Address ;
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Cont��actor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project tJe_,,,-► IAciseaW�� 1-r^e�r.� �lC4G�te� Gt�l.d �O.�CG'c:� ,G1�c�
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �'� C' ����'�'
$ ���j (Value for materials&labor is req.to ensure consistency in accessing perniit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above inforn:ation is complete and accurate. Anv deviations from the above submitted information may requlre additional peimits
to be obtained. I acknowledge and agree to these terms.
Name: Tvc�c�f1' ��� (Please print) Date: �� 2� ?{�/3
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Signature:
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