HomeMy WebLinkAbout0151747 - Building (kitchen/bath addition) CITY OF OSHKOSH No 151747
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 206 W SMITH AVE Owner MAURICIO A/STEPHANIE L PEREIRA DA SILVA Create Date 08/16/2012
Designer
Contractor B WILKE CONSTRUCTION LLC
Inspector John Zarate
Category 111 -Single Family Addition
Plan
Type • Building 0 Sign 0 Canopy O Fence Raze
Zoning R-1 O
Class of Const: Size 10'X 30'
Unfinished/Basement Sq.Ft. Rooms _ Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories
Canopies
Garage Sq.Ft. Baths
Signs
Foundation • Poured Concrete O 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 SFR1 10'X 30'kitchen and bath addition according to attached site plan.All work to meet current code requirements
of Work
HVAC Contractor UNKNOWN??? Plumbing Contractor
Electric Contractor UNKNOWN????
Fees: Valuation $30,000.00 Plan Approval $0.00 Permit Fee Paid $178.00 Park Dedication
$0.00
Issued By: C
Date 08/16/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1518470000
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 erstan the afore mentio 'nforri ation.
Signature` �� , Date 16��-
�� Agent/Owner
Address 4822 RIVERMOOR RD OMRO WI 54963 - 0000 Telephone Number (920)216-1158
—
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 5 P Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ ►it'
Tenant NameCtL/ L/O (57t4hi P peir dti��I Pone Q �p3 ,..v"�nCJ/
Address e7-66 CL/3/41('4 ) 054 fro- 1 Email
Contractor Company Name r J tc., I r e CSI
i 1 5 )a0 Phone 1 X)-„9/6, 115i
Contact '' 4 Email c7
Address If 3 j R -P, s cvr ref
State Credential #'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
Designer Phone
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Additi Alteration
Project j � l
Description 1 �� Gt �/o-ii
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
(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.
64:t Name: .n � b_/, / (Please print) Date: �-m- °2
Signaturee� 2�C
in