HomeMy WebLinkAbout0151695 - Building ( front porch) CITY OF OSHKOSH No 151695
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 154 N MEADOW ST
Owner DALE 0 LEE Create Date 08/14/2012
Designer
Contractor ROB GIESE CONSTRUCTION SERVICES LLC
Inspector Nicole Krahn
Plan
Category 142-Decks,Patios,Ramps
Type • Building O Sign O Canopy O Fence O Raze
Zoning R-1
Class of Const: Size
Hei ht Ft. El Projections
Unfinished/Basement Sq.Ft. Rooms g
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 ISFR\Replace front porch(per code-footings,zoning,etc.),repair foundation
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $12,800.00 Plan Approval _ $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
-� Date 08/14/2012 Final/O.P. 00/00/0000
Issued By:
❑ Permit Voided Parcel Id#0609230000
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 approvals before starting such activity.
I have read and un stand the afore mentioned information. Date
Signature , %�,-C4G SL
Agent/Owner
Address N7224 KRAMER DR FOND DU LAC WI 54935 - 1921 Telephone Number 920-923-5188
of
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit
Nameer,Type
Phone
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y
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 G P O Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
/� Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www•ci.oshkosh.w;.us
Project ,
Address /S y IL) /V &
Applicant Owner ..ontrac o Tenant Other(describe)
Owner/ Name Dix.!€ Le c, Phone qZ0 - -Sr>s — Z
Tenant
Address /S`( ILl ,/4e h dc,,,) sue, Email
Contractor Company Name fenh Phone ? -
Contact /ZIA G Email Qab CB�vS�i^r�c �' (a���+• �-'�' -
Address 21 7 ZZ.L.f R/)L
State Credential#'s
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 New Addition Alteration
Project (�3 C l< 5 + S.clr n2-Cl Appel- LSf 'P J f cu,'rl
Description
M�
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ Iz SOC7 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify 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: 2c, (Please print) Date: 'l /2
Signature: