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Home My WebLink About0158596-Building. � CITY OF OSHKOSH No 158596 : OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3225 WHITE TAIL LN#B Owner FRANZ/JOYCE GAERTNER Create Date 11l04/2013 Designer Contractor OWNER Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type � Building � Sign � Canopy � Fence � Raze Zoning R-3 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 � Pier � 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 COMM/Adding bathroom and bedroom in basement per plan submitted. Egress window is existing in bedroom. All construction shall of Work comply with State and local codes. II I I HVAC Contractor Plumbing Contractor R AND R PLUMBING, LLC Electric Contractor BEEZ ELECTRIC INC Fees: Valuation Plan Approval $25.00 Permit Fee Paid $54.72 Park Dedication $0.00 Issued By: � Date 11/04/2013 Final/O.P. 00/00/0000 ❑ Permit Voided' Parcel Id# 1329610243 Cautionary Statement to Owners Obtaininq Buildinq Permits 101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a building permit with a statement advising the owner that: if the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under : s. 101.654(2)(a),the following consequences might occur. (a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. (b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a),because of any bodily injury to or death of others or damage to the property of others that arise out of the work performed under the building permit or because of any bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. *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 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 and understand the afore ntioned inf ation. /l Signature �'?�' Z �y Date ��7 '1�� AgenUOwner Address 3225 WHITE TAIL LN B OSHKOSH WI 54904 - 6763 Telephone Number CONDO UNIT 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 � � CZ�y �f�S��S� Oshkosh,WI 54903-1130 � Phone:(920)236-5050 Fax: (920)236-5084 Building Permit Application �w-��.oshkosh.wi.us Aaaress �3�2�. �� c/li/,��' ;� �,,� , ;�" ��, � ,�� / 1 4 �� U Applicant Owner Contractor Tenant Other(describe) Owner/ Name /- /`t��? � (,q'G�("= � v� L- Is Phone /��' � � 5` —�91,� Tenant Address_��.,�..,� � �r/I f�,' �� 1 �q�)f' Email Contractor Company Name Phone Contact Email Address State Credential#'s , , Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor RegisVation# A hitect/ Company Name Phone Des' ner Contact Email � Address Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition ` Alteration Project Description ��/ �3��l� `�` �''��/r�n �>�� Mechanical Separate permits will be obtained for the following: � Permits Electrical by �Z+� �riL Plumbing by R,'t R Heating by Value of Job '"�� $ �� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # 333� Cash Permit Fee Account 1 cert�the above information is complete and accurate. Any deviations from the above submitted information may require additiona!permits to be obtained. I acknowledge and agree to•these terms. � Name: �/"' y� � �I �'''' l'� - r'` (Please print) Date: �� '�"! " �� ---� Signature: ,� � Gt.�/ .�l° '