HomeMy WebLinkAbout0141014-Building (driveway & patio) CITY OF OSHKOSH No 141014
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 75 GIBSON CT Owner SAMUEL P /KELLY J OLMSTED Create Date 05/17/2010
Designer Contractor OWNER
Category 142 - Decks, Patios, Ramps Plan
Type • Building Q Sign Q Canopy 0 Fence 0 Raze
Zoning 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Installing a concrete driveway and patio per the site plan submitted.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $32.00 Park Dedication $0.00
Issued By: Date 05/17/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided I Parcel Id # 1413345200
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 . ny necessary approvals before starting such activity.
I have read and n: and the of e menti ned i + 7 it •■ osy Date Wi l// U
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
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.
r Building Permit Application
City of Oshkosh Inspection Services Division
❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
Project Address: - 75 G b so ri c-- - Circle one: Egle Family Duplex Commerical
Owner's Name: SCOYad KiL am:4e. . d Daytime Phone #: Z 1Y - `i 0 - 7 s
Contractor's Name: C k 'e...- S -- C- 1 r Daytime Phone #: 25 2 s 1 Z ?
If the contractor is applying for the permit provide the following:
Dwelling Contractor # Contractor Qualifier #
*These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $ a ,000 •
*The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants
even if you're doing your own work A general rule of thumb is to double the material cost or provide an estimate
from a contractor.
Full description of the work being done:
- 12)( .L t....c —y ) S U a ,..,c,1 k -,,,v. 6c ,,4..,.....--i bl..) ..... 600 r , S; � '�., --ck1 k V U pG. k-, J
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MAY 1 4 2010
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coiu;s?�Eti�r l �a oN
INSPE IOl`' ARV
Any work not noted on this application will not be included on the , permit!
i 0 e R : �d 1: 0 ®� i i c A
Please read the following and sign and date this application prior to applying for the building permit.
1 certify the above information is complete and accurate. Any deviations from the above submitted
information require addi 'oval reviews and permits to be obtained. I acknowledge and agree to these
terms.
Signature - Date: J ` i '
4
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DISCLAIMER O r< �� 0 This map neither a legally recorded map nor /1�
Is
a survey and it not Intended to be used as one. GIBSON A' n � ` / / / � T
and ddrawing is s a c of records, data v 1 V lJ �w� 1V O.J HKO./H
and Information boated ated In In various city, county /_
and stab offices and other sources affecting
the area shown and it Is to be used for reference ON THE WATEF
purposes only. The City of Oshkosh is not re- 0 `1 /f A t/ 1 o City of Oshkosh
sponsible for any Inaccuracies ccucies herein contained. D @pBftfT1 @nt Of
If discrepen is are found, please contact the
City ofOshkosh. Scale: Ir - 2� C ommunity Development
Created by - dff 03/25/10