HomeMy WebLinkAbout0154939-Building (fence) � CITY OF OSHKOSH No 154939
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3105 BELLFIELD DR Owner MARK J VAN EPEREN Create Date 04/04/2013
Designer Contractor SECURITY FENCE AND SUPPLY COMPANY
Inspector Nicole Krahn
Category 251 -Fences Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
Zoning R-1 PD Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier 0 Other
� Concrete Block � Post � Treated Wood —
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature RES/INSTALL 4'CHAINLINK FENCE IN REAR YARD
of Work
L
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,483.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �J�'p . Date 04/04/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1381020000
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 � Y/�, �-._-- Date � �I 13
AgenUOwner
Address PO BOX 320 GREENVILLE WI 54942 - 0320 Telephone Number (920)757-7240
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 0 Box 1130
�'�t� �f�5����� Oshkosh,WI 54903-1130
Phone: (920)236-5050
' ' Fax: (920)236-5084
�uilcling Perrnit Application �'�'�'•ci.oshkosh.wi.us
Project 1 �" `
Address � fG-s �jP��7Ci�P�d �{ (�SyJ,Cc;.S4 �.tl� SLJ�/(J�
Applicant 'E�Owner ❑ Contractor 0 Tenant ❑ Other(describe)
Owner/ Name f�'1 q rk VA�'t �Pi'�°� Phone qad'9)S-�/�a �
Tenant
Address ���JS (3c'��f �d �(. Gis�,�C:S 4J.Z SyGO Email ►'�-t�r���m ��y�iq, I. <o r�
Contractor Company Name .��unl� �7nr� d Sc�yl��b, 1 hc_ Phone ��0- 7S]-7ZS+d
Contact Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type �"Residential Single Family 0 Residential Duplex � Commercial ❑ Multifamily ❑ Industrial
Catagory �1ew � Addition ❑ Alteration
Project ��a� ��h� �"�✓�ie GJZ�n.� �o��� l�
Description Q
Mechanical Separate permits will be obtained for the following:
Permits 0 Electrical by ❑ Plumbing by ❑ Heating by
Value of Job �(Z
$ ���° J (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: ,'�Check # o� 3 0 Cash ❑ Permit Fee Account
1 certify the above information is complete and accz�rate. Any deviations from the above sa�bmitted inform.ation mcry reqa�ire additional permits
to be obtained. I acknotivledge and agree to these terms.
Name: � • �A f il U4 h �j c�(�r.-� (Please print) Date: � y(y/��
Sib ature: �y� ��+, �.----