HomeMy WebLinkAbout0152667 - Building (addtion to back of home) CITY OF OSHKOSH No 152667
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1305 HEIDI HAVEN CT Owner CURTIS A/BRENDA REESE Create Date 09/27/2012
Designer Contractor OWNER —
Inspector Nicole Krahn
Category 111 -Single Family Addition Plan
Type 0 Building O Sign O Canopy O Fence 0 Raze
Zoning R-1 _ Class of Const: Size
Ft. ❑ Projection J ht
Unfinished/Basement _-_ Sq.Ft. Rooms Height _
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage
Sq. Ft. Baths Signs
_
Foundation • Poured Concrete 0 Floating Slab 0 Pier O Other
O 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 IRES/13'by 14'sun room addition to back of house/all loads will be carried per UDC code/pulling existing patio door and replacing with
of Work same size french door/all work will be done per state and local codes/heat calc's included/engineer has signed off on plans for column
footings
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $21,000.00 Plan Approval $0.00 Permit Fee Paid $182.00 Park Dedication $0.00
Issued By: :I,F Date 10/01/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1343850000
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 an nderstan the afo mentioned information.
.
—c____ Date L,/(/�-e) 7 2—
Signature • f,
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.
..........c.(b
G (} / P 0 Box 1130
Cityof Oshkosh -'" Oshkosh,WI 54903-1130
L ����j Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address V- C_ -- ��j � � (7) --,.•
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name y�c-� -� Phone yam( y �
Tenant
Address 1"C'e c)j• \\-o-_,- Email
Contractor Company Name C \U Phone 1-\(-0 V(e p
Contact 1 6\,, /c--- \�. Email
Address cc\ 12 P..\A.-56 .P3421z&L
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name `' Phone
Designer
Contact Email
Address
Permit Type CResideal Single Fa Residential Duplex Commercial Multifamily Industrial
Catagory New ddition Alteration
Project __V-;.. \`� CaC:y..\ x-'-■ O�� \C's*R.s: r-- d \- k----‘---.
Description
Mechanical Separate permits will be obtained for the follo ing:
Permits Electrical by p Wes('�T %� Plumbing by �~ Heating by U' -.-t,r'
Value of Job � `
$ (3\ oo V (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.
1
Name: �n\�`� -�\ `• (Please print) Date:
Signature: !