HomeMy WebLinkAbout0151418 - Building (patio) CITY OF OSHKOSH No 151418
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1710 CHATHAM DR Owner JOHN D/EVELYN L KASPER Create Date 07/30/2012
Designer Contractor SALZIEDER BUILDERS
Inspector Nicole Krahn
Category * 141 -Exterior Remodeling Plan
Type 0 Building 0 Sign O Canopy O Fence O Raze
Zoning R-1 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 O Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Constructing a 14'x 15'pergola over existing concrete patio per approved site plan.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,5400#Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: _f— X- Date 07/30/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1318410000
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 a.provals before starting such activity.
I have read and u tand the a� ' o i ation.
SignatureiJ , Date
Agent/Owner
Address 2470 NEWPORT COURT OSHKOSH WI 54904 - 7317 Telephone Number 233-4850
* 141- Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website; http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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.
�+ G PO Box 1130
.4111......k.11)7 City of Oshkosh L Oshkosh, (9 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project fy
Address / 7/0 ChgtA4", c
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name ,T;M 1 tra5/je,--- Phone Z. 3/-42.19
Tenant
Address /7/0 6-60/44.►i &— y� / Email
Contractor Company Name SG/ 21 /Ps-- /�e'//d e,- Phone Z 3 3'-' 461.5
Contact Email
Address Zy 7O /?few ,.1-' C?-
State Credential #'s ail 7 ' ., '77 '7 (p ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory e� ) Addition Alteration r
Project Rti, d G HA>/5 Pe?®/A cc,4r' G'X ��S i, con c..e, e po7,v
Description �j
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ CO G,Qt! (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # —1 100 Cash Permit Fee Account
I certj'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: G j /a 1/'t / e/-i (Please print) Date:
/
Signature: J 4 f4i,ri..,