HomeMy WebLinkAbout0120123-Building (pool)
o
OSHKOSH
ON THE WATER
Job Address 1016 CENTRAL ST
CITY Or="OSHKOSH
No
120123
BUILDING PERMIT - APPLICATION AND RECORD
Owner S M LOKKEN/M 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. D 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
Park Dedication
# Dwelling Units
o
# Structures
o
Use/Nature SFR\ 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
FinaIlO.P. DO/DO/DODO
D Permit Voided I
Parcelld # 1006780000
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.
Signature /'~__ c~-'--'-'" Date b - /~-- 0 CO
~",:!'JP"
..-P"'- Agent/Owner
Address
445 SACRAMENTO ST
BERLIN
WI 54923 - 0000
Telephone Number
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.
Job Address 1016 CENTRAL ST
Building Permit Work Card
Permit Number 0000000
Create Date 7/6/2006
Owner S M LOKKEN/M K ROGERS & N A KUKLINSKI Contractor
Category
Type . Building
o Sign
o Canopy
o Fence
o Raze
Plan
Zoning
Class of Const:
Size
Value
$0.00
UnfinishedfBasement Sq.
Ft.
Rooms Bedrooms
FinishedfLiving
Baths
Sq.Ft.
Garage Sq. Ft.
D Projection I
Stories
Height
o Floating Slab
o Post
Ft.
Canopies
Signs
Foundation . Poured Concrete
o Concrete Block
o Pier
o Treated Wood
o Other
Occupany Permit
Flood Plain
Park Dedication
# Dwelling Units 0
Height Permit
# Structures
o
UsefNature Ilsee 1012 Central St permit # 120123. Applicant, Jason Brandt, submitted application with address of 1016
of Work Central St., however submitted site plan was for 1012 Central St. Applicant signed permit for 1016 Central
~t. Brandt is listed as the property owner for 1012 Central St. Inspector Adam Krause attempted to contact
applicant to resolve the issue, however was unsuccessful due to privacy manager.
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date
Type
Inspector
Notice Type:
Phone Number:
DatefTime requested:
Access:
Ready DatefTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Page 1 of 1
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Building Permit Application ON THE WATER
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account n
~
OJHKOJH
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JOB ADDRESS
/0/6
c~->.l",-I
OWNER
.~.:~
_.J I"}- S- d "?
/J ro 4 .!-f--
CONTRACTOR
I am the:
[H"'()wner
OR
o Contractor
USE CATEGORY
DSingle Family DDuplex DMulti-Family DRental o Commercial o Industrial
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Deck/Porch/Patio
o Fence/Hedge/Kennel
o Hot Tub/Spa
o Stair/Handrail
o DrivewayIParking
o Garage/Utility Structure
o Internal Remodeling
o Stove/Fireplace
fB''Swimming Pool 0 Wrecking Permit
o Other f'\" 0<:')- "- f.e "" ~ A ""or.,., ./- /::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.)
Anv work not included in this application is not permitted.
-, ""0"'<;:'"
'_'-'
(Value for materials and labor is required to ensure consistency in accessing permit fees for aU
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: ) 11-S,"""I f 3 '"........~--- L
(Please print)
Signature: ~~
~'
It, ," I ? ~ e;I (b
~ ~_.-_.
?.~_.
Date:
3/02