HomeMy WebLinkAbout2013-Building (foundation repair) � CITY OF OSHKOSH No 158687
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1519 ADAMS AVE Owner THOMAS G BURGETT Create Date 11/08/2013
Designer Contractor ABT FOUNDATION SOLUTIONS INC
Inspector Nicole Krahn
Category 112-Foundation Permit Single Family _ Plan
Type � Building � Sign 0 Canopy � Fence � Raze
Zoning R-1 Class of Const
— Size
Unfinished/Basement Sq.Ft. Rooms _ Height Ft. ❑ Projection !
Finished/Living Sq.Ft. Bedrooms Stories _ Canopies
Garege __ 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 SFR/excavate 7'of west wall&3'of north wall to waterproof/backfill with gravel/install interior draintile to drain into new sump pib all
of Work work will meet state and local codes
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,700.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
issued By: � Date 11/08/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1604000000
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 mentioned information.
Signature Date
AgenUOwner
Address 2100AMERICAN DR NEENAH WI 54956 - 1004 Telephone Number 734-8653
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.
� From: 11/O6/2013 15:19 #034 P.002/002
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City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1 1 30 :
Phone:(920)236-5050
Fax:(920)236-5084 ����
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/f vou are a conlractar nar�icibo[inQ in !he Permil Fee �ccounr Svtlem and ha1�e adecrua�e funds check he�e
!f vou N�unt thrs orucessed lhrourh yvur• accounl n
JOB ABDRESS_��q__����—� __ _ _ __._
O W lY ER____�__ '
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BUILDiNG COl\'TRACTOR___�_�������,_!1���;�A� _..._._._� :
BLECTR[CAL CONTRACTOR
PL,UMBING CONTRAC7'OR
liEA7'!NG CONTRACTOR
I arn the: ❑ Owner OR �ontractor
USE CATEGORY
�Single Family ❑Duplex ❑KentaJ
❖ Full description of work being done: ��C �] � p,n (�.}2��-- (�Z� f � :
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Anv work not included in this aaalication is not permitted. Please make sure to attach vour
Plan Submettal Checklist to this apptication with all the reqvired information.
Building Vatue of the job not including mechanicals $ f�v
PLEASE READ. SIGN.& DATE: �
1 cert�the above rnformation is complete and accurate. Any deviations from the above submitled
rnjormation may reguire addztronal permits lo be obtained. I acknoN�ledge and agree to the,se terms.
Name:
(Ple e prin
Signature:
Date: �l/�a / I � _.,
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