HomeMy WebLinkAbout0120123-Building (pool)
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OSHKOSH
ON THE WATER
Job Address 1012 CENTRAL ST
CITY OF OSHKOSH
No
120123
BUILDING PERMIT - APPLICATION AND RECORD
Owner S M LOKKENlM K ROGERS & N A KUKLINSKI Create Date
06/19/2006
Designer
Contractor OWNER
Category
253 - Pools-Inground Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size 15' Dia
Rooms Height Ft. o Projection I
Bedrooms Stories Canopies
Baths Signs
Zoning
Unfinished/Basement
Sq. Ft.
Finished/Living
Sq. Ft.
Sq. Ft.
Garage
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit
Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature ~FR\ 15' dia. storable pool in rear yard according to site plan.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$200.00 Plan Approval
$0.00 Permit Fee Paid
$20.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
Date 06/19/2006
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1006770000
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 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.
Signature Date
Agent/Owner
Address
445 SACRAMENTO ST
BERLIN
WI 54923 - 0000
Telephone Number
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
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Building Permit Work Card
Job Address 1012 CENTRAL ST Permit Number 0000000 Create Date 7/6/2006
Owner JASONITAMARA J BRANDT Contractor
Category
Type . Building o Sign o Canopy o Fence o Raze I Plan
Zoning Class of Const: Size Value $0.00
-
Unfinished/Basement Sq. Finished/Living - Sq.Ft. Garage - Sq.Ft.
- Ft.
Rooms Bedrooms Baths o Projection I
- - -
Stories Height Ft. Canopies Signs
- - -
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupany Permit Flood Plain Height Permit
-
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature IApplicant, Jason Brandt, submitted apploication with address of 1016 Central St. However, submitted site
of Work plan was for 1012 Central St. Apllicant signed permit for 1016 Central St. Brandt is listed as the proerty
owner for 1012 Central St.
Inspector Adam Krause attempted to contact applicant to resolve the issue, however was unsuccessful due
o privacy manager.
HV AC Contr Plumbing Contr
Electric Contr
Inspections:
Date
Type
Inspector
DatelTime requested:
Access:
Notice Type:
Phone Number:
Ready Date/Time:
Requested By:
o Reinspect Fee 0 Fee Waived
o Reinspect Fee Paid
Page 1 of 1
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOfH
Building Permit Application ON THE WATER
Ifvou are a contractor varticipating in the Permit Fee Account Svstem and have adeauate funds. check here
if vou want this processed through vour account n
JOB ADDRESS
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OWNER~) 17 :> </. "?
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CONTRACTOR
I am the:
t1r'()wner
OR 0 Contractor
USE CATEGORY
DSingle Family DDuplex DMulti-Family o Rental o Commercial DIndustrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Deck/Porch/Patio
o FencelHedgeIKennel
o Hot Tub/Spa
o StairIHandrail
o Driveway/Parking
o Garage/Utility Structure
o Internal Remodeling
o Stove/Fireplace
rg'"Swinnning Pool 0 Wrecking Permit
o Other V\ Ci 4 '- f..e ~ .~ A ""ti'~.. .r /J""" l-
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
.:. Full description of work being done:
Value of the job $
applicants.)
Any work not included in this application is not permitted.
<..oo<>>'?...,.
(Value for materials and labor is required to ensure consistency in accessing permit fees for all
PLEASE READ. SIGN. & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
.-.-'
Name: ) i''''}-S,'-'1 f 3' <.--."",.--L
(Please print)
Signature: ~
~".
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Date:
e;J b
3/02