HomeMy WebLinkAbout0155304 - Building (fence) CITY OF OSHKOSH No 155304
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1360 PARKSIDE CT Owner CHRISTIAN E/BRANDY L JACOBSON Create Date 04/29/2013
Designer Contractor CHRISTIAN E JACOBSON _
Inspector Nicole Krahn
Category 251 -Fences 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/Install fencing per approved site plan subitted.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $ 0 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: Date 04/29/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1226690000
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 an ecessary approvals before starting such activity.
I have read and un. s - d the afore mentioned information.
Signature , Date 003
Agent/Owner
Address 25 5 VINLAND ST _OSHKOSH WI 54901 - Telephone Number 920-420-2140
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.
CITY OF OSHKOSH No 155304
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1360 PARKSIDE CT Owner CHRISTIAN E/BRANDY L JACOBSON Create Date 04/29/2013
Designer Contractor CHRISTIAN E JACOBSON _
Inspector Nicole Krahn
Category 251 -Fences 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/Install fencing per approved site plan subitted.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $ 0 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: Date 04/29/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1226690000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure an ecessary approvals before starting such activity.
I have read and un. s - d the afore mentioned information.
Signature , Date 003
Agent/Owner
Address 25 5 VINLAND ST _OSHKOSH WI 54901 - Telephone Number 920-420-2140
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P O Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address �c�/ pno-i(b-
Applicant Owner Contractor Tenant Other(describe) /
Owner/ Name �.\-{RT`J 3yc..065 )A-' Phone ci �a�^� y
Tenant
Address o2�a5- - ( Email iiki -kr/q I41.co Sct1 C Q'"?
Contractor 47X' 1
.1X0-dl q Company Name c ' � eoDSON C�
Contact 5"/%04. Email --sr—
Address SoacC
State Credential#'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name de-�J` - Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory Addition Alteration
Project 35yric_ LonE, Acow6, G<% sT two RTth C 4T" 6
Description
1, LL , Sw c .tax S- 12-
i.-Doct t ice$ am`c'u ) l)aftz ; CA r Ac 1/1 . �#�fjDdu Cl'
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing b y -�
Heating by
Value of Job //bb
$ !O(6 (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 re uire additional permits
to be obtained. I acknowledge and agree to these terms. j�
Name: ersi ` 06.SO/1-' (Please print) Date: ,jam/
Signature: �/