HomeMy WebLinkAbout0127744-Building
,_
OSHKOSH
ON THE WATER
Job Address 3895 SHOREBIRD CT
CITY OF OSHKOSH No 127744
BUILDING PERMIT - APPLICATION AND RECORD
Owner MICHAEL UJOAN A WOLDT Create Date 11/09/2007
Contractor DAVIS CONCRETE CONSTRUCTION
Designer
Category
140 -Interior Remodeling Plan
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: Size
Rooms Height Ft. D Projection I
Bedrooms Stories Canopies
Baths Signs
Zoning
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Finished/Living
Garage
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures 0
. UselNature S.FRI Remodeling the basement to create a family room, excersize room, hallway and bathroom:--------
of Work
HV AC Contractor
BREWER HEATING
Plumbing Contractor VALLEY PREMIER PLUMBING INC
Electric Contractor CUMINGS ELECTRIC INC
Fees: Vatuat\1n _
Issued By~
$18,000.00 Plan Approval
$50.00 Permit Fee Paid
$136.00 Park Dedication
$0.00
Date 11/09/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1281340000
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 t ecure any nece sary ovals before starting such activity.
Date
II ft, '} fi,7
# ,
Address 21 THACKERY TR
Agent/Owner
OSHKOSH
WI 54904 - 0000 Telephone Number 426-3339 233-0391 I
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 VOte are a contractor oarticioatinz in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account n
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JOB ADDRESS 3895 5"~&,RJ:} Crf ().;I1Kl>SI-(
I tUr'
S-~70l/
OWNER
CONTRACTOR MVIS ('f)AJL~~
"
" GAJ~;ZLALPOA.)
I am the:
DOwner
OR
DZI Contractor
rLy..~PJ- ~\\~ ?N-~
\ '?LL~
USE CATEGORY 'ZA--~ - ~ ,W<;'"
~Sing1e Family DDuplex DMulti-Family DRental DCortrmercial o Industrial
~c ~"ffil~
Work being done:
o Addition
o External Remodeling
o Handicap Ramp
o Sign/Canopy/Awning
o Swimming Pool
o Other
Additional information, slJ,ch 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: Adt/,.
o F ence/HedgelKennel
o Hot Tub/Spa
o Stair/Handrail
o Wrecking Permit
o DrivewayIParking
o Garage/Utility Structure
~ Internal Remodeling
o Stove/Fireplace
o Deck/PorchIPatio
i ~~.'/"
~UjJ.,-/ ~*'
~9f-~. ~~
, , ,
~.r-
".",~ ~\Il.'~ 1$ ~ 6. hAOl.1d.
w/"~<,~
Any work not included in this application is not permitted.
Value oftheJ'ob $ (6.-1>_,00 (VI fi '1 d1b' 'd .... fi fi
c . ~ a ue or matena 5 an a or 15 reqUlre to ensure cons1stency m accessmg perrrut ees or all
applicants.)
PLEASE READ. SIGN. & DATE:
I certify the above information is complete and accurg.te. Any tj,eviations from the above submitted
information may require additional permits to be obtained, I acknowledge and azree to these terms.
Name: Jaz~/04 J .J6H~.A,j
, ..~
Signature: L
Date: c7, ';dlj6~
3/02
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