HomeMy WebLinkAbout0151453 - Building (temp ramp) - CITY OF OSHKOSH No 151453
0
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1406 OAK ST Owner SALLYJOE HURLBUTT - Create Date 07/23/2012
Designer Contractor QUALITY 1ST CONST
Inspector John Zarate
Category 045 Residential Ramps Plan-
Type • Building 0 Sign 0 Canopy 0 Fence 0 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 0 Post 0 Treated Wood - -
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISM residential---Install HC access temporary ramp per submitted site plan. Skirting is required.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $57.00 Park Dedication $0.00
Issued By: Date 08/01/2012 Final/O.P. 00/00/0000
Permit Voided I Parcel Id# 1509040000
In the performance of this wo k I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh h ds no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permi pp i;cation within - easem: t,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure an ecessary a••rov Is •efore starting such activity.
I have read and unde tai• the - - � -,••i.,f•d 'e��
_. -- �I
Signature Date >`
Agent/Owner
Address 804 E CUSTER AVE Oshkosh WI 54901 - 0000 Telephone Number 231-5697
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.
PO Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address
Applicant ❑ Owner [9-Contractor E Tenant ❑ Other(describe)
Owner/ Name J q ' �� P ��} to „— t tO 4-4 Phone
Tenant
Address / 216 & �( Email
Contractor Company Name l(,rL (, ( Svc a f Phone /2 3 /-56
�►
Contact D f'`'k 5 V1 Cv Qt,9 KU./Email
Address CZ 0 - t I_/ C IA S I t..- A UC
State Credential#'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
---7
Contact s it Email
Address
Permit Type ❑ Residential Single Family ❑ Residential Duplex ❑ Commercial ❑ Multifamily ❑ Industrial
Catagory f New ❑ Addition ❑ Alteration
Project ) r
Descri tion N cc, w` n` ( e I Ok l" b rc h C3
P
De , Oc • d {-44 / 3 tC-.4
Mechanical Separate permits will be obtained for the i 11; ing;
Permits ❑ Electrical by ❑ ' •:. by ❑ Heating by
Value of Job $ /5 p(�t Oto' (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check #27 I ❑ Cash ❑ Permit Fee Account
I cer • the above information is c plete and accurate. Any deviations from the above submitted information may require additional permits
to b ohtai ed. I ackn led an agree to these terms.
Name: �lt /► T (Please print) Date: 8/ / /--2_
Signature: .../.1-1/N
JIMc
c.-