HomeMy WebLinkAbout0154195 - Building CITY OF OSHKOSH No 154195
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 911 STARBOARD CT Owner TIMOTHY L/HEATHER M PINNOW Create Date 01/16/2013
Designer Contractor RORY SCHLOMANN CONSTRUCTION CORP.
Inspector John Zarate
Category 111 -Single Family Addition Plan
Type • Building O Sign O Canopy 0 Fence O Raze
Zoning R-1 Class of Const: Size
Unfinished/Basement 848 Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living 500 Sq.Ft. Bedrooms Stories Canopies
Garage 408 Sq. Ft. Baths Signs
Foundation • Poured Concrete O Floating Slab O Pier 0 Other
O Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature !SF addition, attached garage addition and new porch per submitted plan. All construction shall comply with State and local building
of Work 'codes. Separate elec., plmg&HVAC permits will be required. Truss plans to be submitted prior to rough in.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $120,000.00 Plan Approval $50.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: Date 01/17/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1522510000
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 unstand fore -ntioned informati. 1
/ Date _/713
Signature _ �u _ ,r /
ate
Ag= t/Owner /
Address 1221 NATURE TRAIL DRIVE NEENAH WI 54956 - 0000 Telephone Number 920-428-2755
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.
P O Box 1130
PI4 City of Oshkosh Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project /
Address 7/l S/Rr/Lockfc/ G7
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name ycccf ic-r ctnca 7.41 Y' %144.'°� Phone l—VO— 19 " gCcK�
Tenant
Address 9// S4ct(Jica;ccj c f. Email
Contrac r Company Name go g% s ct t OM onu G,,,,-6,8„;,,/dr.Phone !—?i,2o. yo8"a>SJ
Contact Xf� Scl tdoic,0N Email ivy scI+L&•^r O GMc„f ca,,-c
Address /'a I NkAiNic —tic,,; I p�f•,rc, etc 4h,in WI-- scty cr,r(0
431114 1l13 I1M I2 j-21./g.
State Credential#'s 1a0 \°1a, , jaba\9\ , 4aoa19 (
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name I V O PP K e (,.v w.tacr^ Phone H—Vc 37g - S ) 3
Designer
Contact A AJ 0, v Email "
Address /k / /300,3E KS ST S OS(,)f( �'l
Permit Type LR ntial Single milyJ Residential Duplex Commercial Multifamily Industrial
Catagory New Additions } Alteration
Project Arkl Jl.f c_../.1 Sir ft �I c�:.t.Cc Cedd T ` (1 (f t'
Description )
NC:N � czAct,'+►c CV)(A 3 Sl ft Cpurfcd poi-do
c
Mechanical Separate permits will be obtained for the following:
Permits Electrical by 1, R.0 . Ar,,,\_ Plumbing by e LII,1 P/u,„kkg, Heating by G U) S
Value of Job $ /0r0 CN (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: Roc t i /f_ AU el l.,r1 ii (Please print) Date: j -- j j— /3
Signature: /�ci2.6"