HomeMy WebLinkAbout0158329-Building (foundation repair) � CITY OF OSHKOSH No 158329
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1857 MCCURDY ST Owner ALFRED/JOAN NIMKE JR Create Date 10/10/2013
Designer Contractor VIENOLA BROS CONSTRUCTION INC(CONCRETE)
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building _� Sign � Canopy � Fence � Raze �
Zoning R-1 __ Ciass 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 0 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/interior remodeling"*LATE FEE ADDED FOR WORK DONE WITHOUTA PERMIT***
of Work ' :
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----- ----- --- - ----- JI
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $165.00 Park Dedication $0.00
Issued By: �� �• Date 10/18/2013 Final/O.P. 00/00/0000
� Permit Voided Parcel Id# 1408460000
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 appli � n within an easement,the City stro es the permit applicant to contact the easement
holder(s)and to secure a ne ssary a rov before startin uch a � ity.
I have read and unde and e afor e ned infor ion.
Signature Date �'l /�
AgenUOwner
Address PO BOX 3306 _ OSHKOSH WI 54903 - 3306 Telephone Number (920)303-0934
* 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 othervvise,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.
POBox 1Li0
� �l�y Of OSlL��slL Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Faac: (920)236-5084
Building Permit Application K'µ'�'•ci.oshkosh.w►.�s
Project � ;
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Phone
Tenant
Address Email
Contractor CompanyName ����l�d'����5 Phone ,��3��3�
Contact----����� Emai 1 :
Address��'(��y� ����!'�T
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 Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �J
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 :
I certify the above information is complete and accur te. Anv deviations from the above submitted information naay reguire additiona!permits
to be obtained. knowle e d a e to th rms.
Name: (Please print) Date:
Signature: