HomeMy WebLinkAbout0159853-Building (foundation) � CITY OF OSHKOSH No 159853 :
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 700 HOBBS AVE Owner SOMSANOUK VONGSA Create Date 03/19/2014
Designer Contractor ABT FOUNDATION SOLUTIONS INC
Inspector John Zarate
Category 112-Foundation Permit Single Family Plan
Type � Building � Sign � Canopy _ � Fence � Raze I
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 � Pier � Other
� Concrete Block � Post 0 Treated Wood '
Occupancy Permit Not Required Occupancy Fee _ $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR(rental)-(Late Permit): Install 5 wall anchors to secure and stabilize. Install 5 2x5 tubular steel braces. Install 57'subfloor drainage
of Work �ystem. '"debit acct ,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,400.00 Plan Approval $0.00 Permit Fee Paid $279.00 Park Dedication $0.00
issued By: �� Date 03/21/2014 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1211040000
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 2100 AMERICAN 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.
Mar, 19, 2014 2: 31PM ABT fOUNDATION SOLUTIONS No. 0025 P, 1
� ��O f Os�,yOS� P 0 Box 1130
1 11b � Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Bui�ding FermYt AppLication "�"'��"�°S�°S".�►;.°s
Project
Address � � v$$� �vE�/c��
Applicant Owner Contractor Tenavt Other(describe)
Owner/ Phone Z�+
'�enant Name So,.., e.,i c, -n ��z � �03— S'c�9
Address EiT1a1]�o^/G S AS oM � Y�l�oo.
Contractor CompanyNa�e �4$7" 1�►•,,,p•ti�.,! �mLu�►�n,�(,,i phone 2- '7 — �Z?�
Contact ��v,,a ,�¢bv.„6./Z Email �4v< ���ql� �.L�
Address Zl�o �{�.,��e�L��/ ��
State Credential#'s f o Z'���� , !o� 2� ,
Dwelling Contractor Qualifier# Dwclling Contractor# Buildjng Conhactor Registracion#
AchiteCt/ Company Name Phone
Desigaer
Contact . E�1 :
Address
Pertnjt Type esidential Single Family Residen�ial Duplex Commercial Mulcif�ily IndustriaJ
Catagory New ion Alteratioa
Project �rNS-m.�L.� � �/�IG.L A/V �✓a.L� 'TO �6G�./�� �
Description . .
S�aQ�G��.� . 'T� �n!$�'�lC� �' �+�$+ 'i����
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Mechanical Separate permits will be obtained for the following:
Permfts Electrical by Plumbiug by � �ieaxing by
Valae of Job s gf (�o b ."� N�ue fo[matecjaly&labor is roq.to ensure consistency ia accassia permit fees for ap applicants.)
Payment by: Check # Cash Permit Fee Acco �
1 certify rhe above information is complete and accur¢te. Any deviaaons from the above submttred:nformation may reguire additioaal perrniu
to be o6rained. 1 acknow[edge and agree to these ternu.
Name: . .e��� (��ease p�c� Date: 3—!9— 2.0��
Signature:
,Mar, l9, 2014 2: 31PM ABT FOUNDATION SOLUTIONS No. 0025 P. 3
:;� 2100 American Drive ':�
Neenah, WI 54956 �
920-733-4ABT (4228) ?
FoundaFion Salutions. In�_ 800-967-4ABT
Owner's Name:
Job Addtess: ���,�,� Date: "
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This drawing i of the uotation and Contract which has t]�e written s�ecif'ications_
ABT Signa e. i
Date:
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Customer Sihnature: °'(�►'��� V�i�, ��� l�
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