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HomeMy WebLinkAbout0152223 - Building (shed) CITY OF OSHKOSH No 152223 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 922 BAY SHORE DR Owner MICHAEL D/GENEEN F SASKA Designer — — Create Date 09/10/2012 — Contractor OWNER Inspector Category 151 -Residential New Shed ------- — — — Plan Type • Building 0 Sign O Canopy 0 Fence 0 Raze _ Zoning R-2 -- Class of Const: J Size _ Unfinished/Basement Sq. Ft. Rooms Height Ft. ❑ Projection Finished/Living Sq.Ft. Bedrooms — Stories Canopies Garage Sq.Ft. Baths --.-- Signs Foundation 0 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 Install 10'x12'shed on existing concrete foundation — — of Work — — HVAC Contractor ---— Plumbing Contractor Electric Contractor Fees: Valuation $2,300.00 Plan Approval $0.00 Permit Fee Paid _ $70.00 Park Dedication $0.00 Issued By: 3 Date 09/10/2012 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 0805850100 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 se d e any necessary ap• i vals before starting such activity. I have read and u,•-rstand the afore me f.ned, formation. Signature .4 / , / , , ..-t, i` Date 9/ /Z_ 9;949– Agent/Owner Address Oshkosh WI 54901 - 0000 Telephone Number 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. Building Permit App lication City of Oshkosh Inspection Services Division ❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would like this permit processed through your account. Project Address: �� E � Circle one: Single Family Duplex Owner's Name: ,r/Z 44( 6 (e,te� / Daytime Phone #:9)4- ' Contractor's Name. i,�4 cs y_ Daytime Phone#: If the contractor is applying for the permit provide the following: Dwelling Contractor# Contractor Qualifier# *These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors conducting work on residential property. Value of the project including labor and material costs $ *The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants even if you're doing your own work. A general rule of thumb is to double the material cost or provide an estimate from a contractor. Full description of the work being done: S/11 r"- 17k'f '•-) / k Electrical Work is being done by: Any work not noted on this application will not be included on the permit! � The followuig d©currents axetlaced tea this appixcat�an i w S 3 i 5 E i ; J E1 Y' - t t Ei€ i f -1 5' 2 site plans 0 32,Sets of Fxamng& Wall$rac , pp7 bl � Plans� � A. fca e fees g sign and date this application prior to applying fo Please read the following and si �� ��� � ""���` " " ` ` P r the building permit. I certi.b,the above information is complete and accurate. Any deviations from the above submitted information ma require additional reviews and permits to be obtained. I acknowledge and agree to these terms. Signature: Date: G.:P-1676%1- 4