HomeMy WebLinkAbout0151951-Building CITY OF OSHKOSH No 151951
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3865 EDGEWOOD RD Owner DONALD C BARTZ Create Date 08/24/2012
Designer Contractor SUNROOM DESIGN GROUP LLC
Inspector Nicole Krahn
Category 111 -Single Family Addition Plan
Type O Building 0 Sign O Canopy O Fence O Raze
Zoning R-1 PD Class of Const: Size 14'X 14'
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 O Other
O 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\Sunroom addition according to attached site plan and documentation.An elestrcal permit shall be issued prior to any wiring taking
of Work place.
HVAC Contractor Plumbing Contractor
Electric Contractor UNKNOWN????
Fees: Valuation $27,500.00 Plan Approval _ $0.00 Permit Fee Paid $197.00 Park Dedication $0.00
Issued By: / Date 08/24/2012 Final/O.P. 00/00/0000
❑ Permit Voided( Parcel Id# 1282000100
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 understand the afore mentioned information.
Signature Date
Agent/Owner
Address 2100 AMERICAN DR NEENAH WI 54956 - 0000 Telephone Number 733-4786
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
Inspection Services Division
P Boh 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084 OJI-1 OJFH
Building Permit Application- Additions
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account 1
JOB ADDRESS 2 8 S�JEc y'z t,Lice,A osA k,,,s h f aU f S 9'9'0/-95 �
OWNER 4_) IA/6 V.V /SC1v`T2-
BUILDING CONTRACTOR 'cat( rive c
ELECTRICAL CONTRACTOR Prt(A),.f..,
PLUMBING CONTRACTOR n,(
HEATING CONTRACTOR N rA � sooS iv..)U✓r)
I am the: ❑ Owner OR El Contractor
USE CATEGORY
Single Family ❑Duplex ❑Rental
❖ Full description of work being done: . •r-//,%► 4. /G�/�2 " W (c Dy ��/ fit;, '' dec,o
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cr. of ct^ C.-Its . 1'intShr geL rrC..G.n 1)y d ✓1t'�,
Any work not included in this application is not permitted. Please make sure to attach your
Plan Submittal Checklist to this application with all the required information.
Building Value of the job not including mechanicals $ 2 7.cia
PLEASE READ, SIGN, & DATE:
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: 1`u
(Please print)
Signature:
Date: q/2t 1/L
11/03