HomeMy WebLinkAbout0158582-Building (repair foundation) � CITY OF OSHKOSH No 158582
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1111 W 5TH AVE Owner WILLIAM J MAURITZ JR Create Date 11/04/2013
Designer Contractor ANDERSON BROS INC
Inspector Nicole Krahn
Category 112-Foundation Permit Single Family Plan
Type � Building � Sign 0 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 i
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ;SFR/repairing foundation/all work will meet state and local codes for foundation repair
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,280.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
IssuedBy: ���= Date 11/04/2013 Final/O.P. 00/00/0000 ;
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❑ Permit Voided' Parcel Id#0608290000
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 an tan ore tioned' rmation.
Signatur(� Date �
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AgenUOwner
Address 2222 WHITE SWAN DR OSHKOSH WI 54901 - 2567 Telephone Number 920-233-4286
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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P O BOX 1130
� �lG y �f OS!L��S� Oshkosh,WI 54903-1 L.iO
� Phone: (920)236-5050
Fa�c:(920)236-5084
Building Permit Application �'N'�'•ci.oshkosh.W�.�s
Project l
Address �/ r� �, ��� ��
Applicant Owner ontractor Tenant Other(describe)
Owner/ Name i�6 Q�C/'/�f Phone__�� '-�c�OJ�'
Tenant
Address �I� � �� �� ,(4v � Email
Contractor Company Name ` /�O�L°/'S�� S' Phone_���c�� /
Contact C�/"'!� Email
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Address ��� ���/�i�,� �l�'r
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Ty Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory ew Addition Alteratio
Project OLt..t C��x�,-��O-�1
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �'] Q
$ ,/� C� � (Value for materials&labor is req.to ensure consistenc}�in accessing permit fees for all applicants.)
Payment by: Check # �¢�Y(e Cash Permit Fee Account
1 certify the above information is ca�aplete and accu�•ate. Any deviations fran the above subnaitted information may requi�•e additional permits
to ined. 1 ac- wle ge and agree to these terms.
Name: ��/''�����p�l����� (Please pr�r,c) Date: !� �
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Signatu�— _ �—