HomeMy WebLinkAbout0158369-Building (foundation repair) � CITY OF OSHKOSH No 158369
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1918 GEORGIA ST Owner EMOGENE D WILDISH LIFE ESTATE Create Date 10/21/2013
Designer Contractor AREA WATERPROOFING&CONCRETE
Inspector Nicole Krahn
Category 112-Foundation Permit Single Family Plan
Type � Building � Sign � Canopy � Fence 0 Raze I
Zoning R-1 Ciass of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection ',
FinishedlLiving Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/foundation repair/repairing foundation wall which would require excavating walls and reinforcing them properly/all work will meet ,
of Work state and local codes/new draintile as well ,
I
,
,
HVAC Contractor Plumbing Contractor
I
-- ----- --
Electric Contractor
Fees: Valuation $13,900.00 Plan Approval $0.00 Permit Fee Paid $124.00 Park Dedication $0.00
Issued By: �� Date 10/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1408601300
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 a vals before starting such activity.
I have read and d tand th af ioned i ation.
Signature Date 16 ����
,
` AgenUOwner
Address 4120 SANDPIT RD Oshkosh WI 54904 - 0000 Telephone Number 229-0926
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.
� P O Box1130
� l�l�y Of Os���s� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
F�:(920)236-5084
Building Permit Application N'�'�'•ci.oshkosh.w;.�s
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �(����l�o;.� Phone � �� - 7�� r ��
Tenant
Address ��/��--Z�� �i`/-�- Email
Contractor Company Name�¢�—�,�/�'�pi(�rriv��`t�j Phone �2v� ?Zg ��Z6
Contact Email
Address �/-� �"���"� /'- �
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
Description .
�?���,�- 2�J.�s �i��0%a•.�"�.e� (�/�� ���
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Mechanical Separate permits will be obtained far the following:
Permits Electrical by Plumbing by Heating by
Value of Job r
$ � ���Of.,` (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 infornaation is complete and accm�ate. Any deviations fi•om the above submitred infornTation may requir•e additio��al pennits
ro be obtained. I acknowledge and agree to these terms. �
Name: � (Please print) Date: /f7 - Z-/���
Signature: