HomeMy WebLinkAbout0158328-Building (foundation repairs) � CITY OF OSHKOSH No 158328
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 742 W 19TH AVE __ Owner JULIE T LARSEN _ __ Create Date 10/18/2013
Designer Contractor VIENOLA BROS CONSTRUCTION INC(CONCRETE)
Inspector Nicole Krahn
Category 112-Foundation Permit Sin I_g e Family _ __ Plan
Type � Building 0 Sign 0 Canopy � Fence � Raze
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 � Other .
� Concrete Block � Post � Treated Wood — _ _
Occupancy Permit Occupancy Fee $0.00 Ftood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature SFR/repairing foundation walis that were pushing in/all work will meet state and local/
of Work I I
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HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation _ $5,000.00 Plan A roval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: .` – Date 10/18/2013 FinallO.P. 00/00/0000
� Permit Voided Parcel Id# 1408470000
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 pli tion within an asement,the City stro the permit applicant to contact the easement
holder(s)and to se re any ecessary a ov before startin uch activ' .
I have read and erst the afor e ' ned inf ation.
Signature Date � " %�
AgenUOwner
Address 1602 OREGON ST _ OSHKOSH WI 54903 - 8042 Telephone Number (920)303-0934
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.
� POBox1L.i0
Clty �f OS���s� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fa�:(920)236-5084
Building Permit Application �'w'�'•ci.oshkosh.wi.us
Pro�eec �/� /��/!
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Phone
Tenant
Address Email
Contractor Company Name /�l��p��J �j�j Phone �
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Contact �!���k� Email
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Address f d �},( ��
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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 ����i�/1� �.ai�iL :
Description �
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �—
$ �� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify the above information is complete and accurate. Any deviations from the above submitted information mcry require additional pe�mits
to be obta' e . 1 a owledge a agree to t erms.
Name: (Ptease print) Date: l0�/ �
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Signature: