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Home My WebLink About158657- Building *REVISED* No 158657 � CITY OF OSHKOSH OSHK OSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Create Date 11/06/2013 ' Job Address 960 GREENFIELD TRL ___ Owner GALE&CINDY BORGMANN _ Contractor OWNER ___ Designer --- — Inspector Nicole Krahn --- plan _ Category * 140-Interior Remodeling — � Raze -- Si n � Canopy _ � Fence Type � Building � 9_ Size _ R-1 Class of Const: _ Zoning Height Ft. ❑ Projection , Unfinished/Basement Sq.Ft. Rooms _.__ — Canopies Sq.Ft. Bedrooms Stories _ _ FinishedlLiving Signs Garage Sq.Ft. Baths _ — Foundation � Poured Concrete � Floating Slab � Pier � Other � Concrete Block � Post 0 Treated Wood Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit _ _ Park Dedication #Dwelling Units __0 #Structures � UselNature �SFR/LATE PERMIT/Remodeli n oomkonhethe�lowepport on of the waes were lopened)!This permit alsolin cud s w den ng the doorway I� of Work �countertops,remodeling the bat ( Y '�between the kitchen and living room. Replacing four interior doors and 3 closet doors. An exhaust fan will be required in the bathroom. I � _ — � -- — —. — Plumbing Contractor OWNER HVAC Contractor --- Electric Contractor SECKAR ELECTRIC CO INC . 0.00 Fees: Valuatio $4,500.00 Plan Approval $0.00 Pern'�it Fee Paid $165.00/06/201Dedic FinallO.P. 00/00/0000 Date Issued By: Parcel Id# 1314320000 � Permit Voided Cautiona 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 pennit 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 deated botanr ne I'gence by the cont ac or hat occursh nr connection with the the work performed under the building permit or that is caus y Y 9 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 ar'se ou of the work performed undaer the bu Id ng permi dolr because of any death of others or damage to the property of others that bodily injury to or death of others of damage to the propeRy 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��S th�add tio al information on ha ards present n�bu di gs see he PretDemol tion Environmental ; website;http://dnr.wi.gov/air/wmpenf/a / ? 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 goveming 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 pe t application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to se e any necessary approvals before starting such activity. E I have read nd u r tand e ementioned information. Dat� �' r'�J Signature � AgenUOwner Address 960 GREENFIELD TRL OSHKOSH _ WI 54904 - 8030 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pe our Name a dyPhone Inspection(i.e. Footing,Service, Fina l,e t c.),A c c e s s into Buildin g if Secure(how do we gain entry),y Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Wor k may continue if the inspection is not performed within two business days from the time the project is ready. P O Box1130 � �l� O�OS��OS� Oshkosh,WI 54903-1130 '�,/ Phone:(920)236-5050 � .l Fa�c:(920)236-5084 Building Permit Application ��►.oshkosh.wi.�s Project �/ /�r -.�i �� y � �S �1 �S "l .j �� Address lP 0 V P e� Applicant Owner Contractor Tenant Other(describe) Owner/ Name � `�. -'r5 jr-�-n�` Phone �P 0�' �J 3�/lv s� Tenant /� n � n�/. 1, j. r�� 1 Address/�0 d V/'��t�P�l�' /� Y/ YUeDS�I nfai Co tractor Company Name Phone Contact Email Address State Gedential#'s � � Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Ach'tect/ Company Name Phone Desig Contact Emai 1 , Address Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration Project , d,p�► �'�'c��►—J� Description � � � (�-��.0 �es�.v� �v e - S Mechanical Separate permits will be obtained for the following: � �. Permits Electrical by �� Plumbing by Heating by Value of Job $ � �-,� �J (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) � � Pay�by: Check # Cash Permit Fee Account I certify the above information is co»iplete and accurate. Any deviations from the above subnaitted information may requir�e additional permits to be obtained. I acknowledge and agree to these terms. Narrle: (Please print) Date: Signature: