HomeMy WebLinkAbout0158584-Building (repair foundation) t,
� CITY OF OSHKOSH No 158584
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 162 W 21STAVE Owner LEANNE NEWELUROXANNE SCHULTZ 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 _�
Zoning R-2 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 � Floating Slab 0 Pier � Other
, � Concrete Block � Post � Treated Wood —
Occupancy Permit Not Required Occupancy Fee $0.00 Fiood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/repairing foundation to existing residence/all work will meet state and local codes "check#18246
of Work
�I
HVAC Contractor _ _ _ Plumbing Contractor
Electric Contractor
Fees: Valuation $7,360.00 Pian Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: (���W Date 11/04/2013 Final/O.P. 00/00/0000
� Permit Voided ', Parcel Id# 1402360000
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 a under ore �/ioned�nformation. 2
Signature ___..E��'"�`" Date �� `� /J
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.
P O Box 1130
n City of�S���S� Oslikosh,WI 54903-1130
� Phone: (920)236-5050
Fa�c:(920)236-5084
Building Permit Application WWW���.oshkosh.W;.�s
Pro�e�t ,
Address ��� �� � � s����
Applicant Owner � �ontractor Tenant Other(describe)
Owner/ Name �(' ,P/�/5 �rl�/ / YP.G�/C�l� Phone �����g-��
Tenant
Address /c��� ,�'�'`�l'�"/`�T- �C/� Email
,
Contractor Company Name O�� /�, .-L/�C� Phone � ��'��Gv�
I
Contact C�/�%s Email
1 ' ��� �
Address_ ��� ��mr'S�J:Z � ( �S�
State Credential#'s , , �
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Typ Residential Single Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition �Alteration
Descrit tion '�"`�! `���`�� ����� �
P
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 # O o� Cash Permit Fee Account
I certify the above information is cornplete and accurate. Any deviations from the above submitted infoimation may require additional permits
to be obta' acknowledge and agree to these terms.
Name: /li'r� vt� Y �� . �
(Please print) Date:
Signature. -.=_=�F�--.---- .
i
' �q ro�O��r Page No. of Pages ;
.
,�� t
�
��, �
�
.
.
; � f
,
ANDERSON BROS. INC. <
MASON 8 CONCRETE CONTRACTORS Mason Contractor
2708 HARRISON STREET• OSHKOSH,WI 54901 • (920)233-2600
PROPOSAL SUBMtTTED TO pHOHE DATE
Carl Newell � 376-1852 9/4/13
s�Er 1211MerrittAve JOBNAME FoundationrQpair
CIT1f,STATEANDZiPCODE Oshkosh WI 54901 �LOCATION 162 W. 215Y Ave';.
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specfications and eatimates for.
Labor and materials as follows: 32' of driveway and curb will be removed. West wall excavated to
bottom of footings. Wall then will be straightened. Mortar joints repaired on both sides of wall. 5
three inch primed and painted steel I beams grouted into floor and anchored to joist above for
reinforcement. One coat of rubberized foundation coating applied to grade. 6 mil vapor barrier on top -
of coating. New drain tile installed on outside. Any bleeders will be cleaned and connected into. Ctear
: , stone back fill to base height. Block will be stacked on footing to prevent settling of new concrete
driveway. New driveway will be 5" thick 4000 psi with fibermesh. %" steel rods placed 4' on center.
One coat of acrylic sealer applied after broom finish. To add baseboard system on north wall to sump
pit please add $300.00. Please see diagram below. If you have any questions please call.
;
I
i
i
i
�f �COpO�C hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
Seven thousand three hundred sixty--------------------------------- 7360 00 `
dollars(S ' ).
Payment to be made as follows:
Upon completion
All matarial is guaranteed to be as specitkd. All woAc W be eompbted fn a worlcmanllke
ma�ner aecadMg to standard practless. My alteration w deviatfon irom abovs specNi- A���Z�
caGons ImoHing extra cosb wUl be executed only upon vrtNten wdars,and will becoms Signature
an�zba eharys over and above ths uUmab.All aynsm�Ms eontlny�nt upon strlkes,
xcidaMa w dslays b�yond our eo�trol.Ownar W urry Nn,tomado and othar nseessary Note:This proposal msy be
Insunna.Ow workan an tuly eowr�d by Wwkmen's Compematloo insunnce. withdawn by us if not accepted within days.
�iCCC�1AItCP Of �rO�OS3Al — The above prices,specifications
and conditions are satisfactory and are hereby accepted. You are authorized to do Signature
the work as speafied. Payment will be made as outlined above.
Date of Acceptance: Slgnature