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HomeMy WebLinkAbout0126326-Building (shed) o OSHKOSH ON THE WATER Job Address 412 W 6TH AVE CITY OF OSHKOSH No 126326 BUILDING PERMIT - APPLICATION AND RECORD Owner CAROL S DERKSEN Create Date 08/17/2007 Designer Contractor OWNER Category 151 _ New Utility Buildings-Sheds (Residential) Plan Type . Building o Sign o Canopy o Fence o Raze Zoning Class of Const: Size 8' X 8' Garage Sq.Ft. Sq.Ft. Sq.Ft. Rooms Height Ft. o Projection I Unfinished/Basement Finished/Living Bedrooms Stories Canopies Baths Signs Foundation . Poured Concrete 0 Floating Slab o Concrete Block 0 Post o Pier o Treated Wood o Other Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Use/Nature ~FR\ Tear off attached "shed", build 8' X 8' shed according to attached site plan. of Work o # Structures o Park Dedication # Dwelling Units HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00 Issued By: -:--517<:: Date 08/17/2007 FinaI/O.P. 00/00/0000 -- o Permit Voided I Parcelld # 0905430000 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 approv~ before :.tarting such activity. Signature ~~~ J..~~ Date p..)/-D) Agent/Owner OSHKOSH ~ 54902 - 5914 Telephone Number Address 412 W 6TH AVE 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Building Permit Application ON THE WATER If you are a contractor varticivating in the Permit Fee Account System and have adequate funds. check here ifvou want this processed throuzh your account n JOB ADDRESS Y ld-- 1 J Lab fA ~ OWNER G0 VO\ 0 Q--(\c)o..-e.-r- CONTRACTOR 'S e 1 +- JZtowner I am the: OR 0 Contractor USE CATEGORY DSingle Family DDuplex DMulti-Family o Rental 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 DrivewaylParking ~Garage/Utility Structure o Internal Remodeling o Stove/Fireplace o Swimming Pool 0 Wrecking Permit G/Other (0(1..-\ V\5 9QYOje-- 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: + c e roO).3 J a uJ Y\ ..p )Z'-~ s ~" 11\.5 11 ~ '0 - u..$a, t, toe.... ~ G .(I:\j€ ~ ~L<..,'\oh-^J *)1... ')$' -S}.. ecR CI ~(.,()rc:/~' Y'\~ i-i> ~ \;\ Q ('/ha.J ~ ; +~ p) a r- Anv work not included in this application is not permitted. Value of the job $ '00 .:> applicants.) (Value for materials and labor is required to ensure consistency in accessing permit fees for all PLEASE READ. SIGN. & DATE: { certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits to be obtained. 1 acknowledge and agree to these terms. Name: Corol 0 e..-r1<-6~ (Please print) Signature: (l ~ ~~ {)t)4-- Date: P - /7- 0'1 3/02 75.00' ......).. N I~ o \ O.t. '(,/Ill' '5:+~ J t (G '~ 0'/\ /( 0/\ 50.00' ......).. ~ " , 6><8 5hd DISCLAIMER TIlls map 15 neither a legally recorded map nor a survey and it is not intended to be used as one. This drawing is a compilation of records, data and information located in various city, county and state offices and other sources affecting the area shown and it is to he used for reference purposes only. The City of Oshkosh is not rew sponsible for any inaccuracies herein contained. If discrepencies are found.please cpotad the City of Oshkosh. Created by - kjg \)GcJ<. 412 W 6th Ave Scale: 1 "= 20' 100. ......).. N (J1 . o o ......).. N 01 . o o N A 06/08/2007 Source: City of Oshkosh GIS