HomeMy WebLinkAbout0155162 - Building (deck) 0 CITY OF OSHKOSH No 155162
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 925 OSBORN AVE Owner MARK C PRIBBERNOW/KELLIE J SCHUH _ Create Date _04/19/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 043-Residential Decks Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 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 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 RES/8'by 10'deck per site plan submitted. Framing plans will be provided at framing inspection. Installing a 6'patio door also. All
of Work construction shall comply with State and local building codes.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $650.00 Plan Approval $25.00 Permit Fee Paid $68.00 Park Dedication $0.00
Issued By: Date 04/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1310160000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary a ovals before starting such activity.
I have read and uncle th afor entioned information. ///
Signature ��gi... „j� (� l�/
JJ Date J
Agent/Owner
Address _Oshkosh WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P O Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project -- 11
Address a'$ 05 , , a A . ►. W\T • 0
Applicant (fwner--) Contractor 11 Tenant Other(describe)
Tenant, Name K�\�Q_ N\ack ?C�o C'ii c�vJ Phone ��ao-" �O�ta,-op-SO
Address ()l as C -)bo(-n Ave, Email k.0-k) .key-cyMci;A.cs,'
Contractor Company Name �0.� {1 CK L�C� Phone
gap- X0°7-4 13'S
Contact L 0,..5 � .�- Email p_rac}L_tA_Or ce-7cihbT).ctIA
Address 2 c L\ CA-‘,Q A,►cd >W wJt��Ic �t1� S-5(1-)%-\
State Credential#'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type (Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project
t Q.84 t1
Description k, c4-\)0,‘ V.,-- S12 6 Qc
1100 G.. -_: C IRAIM AIR
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �y��'�
$ �J (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 37 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: Ke\\; C+c 0rj cif ,, (Please print) Date: LA/ Ic\/ \Z
Signature: at:f 1