HomeMy WebLinkAbout0155369-Building (det. garage) ;
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" � CITY OF OSHKOSH No 155369 =
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1103 W BENT AVE Owner KEE LEE/MEE L MOUA Create Date 05/01/2013
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Designer Contractor AMERICAN GARAGE BUILDERS
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Inspector John Zarate `
Category 150-Residential New Garage Plan
Type � Building � Sign � Canopy � Fence 0 Raze �
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height 11 Ft. ❑ Projection f
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage 360 Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier 0 Other
� Concrete Block 0 Post � Treated Wood �
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit {
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature onstruct new 360 sf(18 X 20)detached garage in rear yard. Fire separation will be provided on the North wall. All construction shall °
of Work omply with State and locai codes.
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HVAC Contractor Plumbing Contractor
Electric Contractor �
Fees: Valuation $11,000.00 Plan Approval $25.00 Pertnit Fee Paid $140.80 Park Dedication $0.00
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Issued By: Date 05/01/2013 Final/O.P. 00/00/0000 �
� Permit Voided I Parcel Id# 1205510000 f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
, While the Ciry 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 activiry.
I have read and un tand the afore ione info ion.
Signature � Date 5 �� ��
AgenUOwner
Address 576 LINNERUD DR SUN PRAIRIE WI 53590 - 2944 Telephone Number 866-580-9400
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 �
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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. �
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P O Box ll30 °
� G Oshkosh,WI 54903-1130 �
� Cl�y �f Os���s!� Phone: (920)236-5050
Fax: (920)236-5084 i
Building Permit Application �W���.oshkosh.W�.us f
aaaress 1 U 3 t,v , ��,,,�} � � <<a 1�
Applicant Owner Contractar Tenant Other(describe) �
Owner/ Name l�t� Lt� Phone �3 "� � ��
Tenant
Address �j a 3 CiL/ • (��..�- � Email
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Contractor Com an Name� � �j'1 d �70 d�7�1/ �
p Y �C'n�,.� �-�,p r S Phone �
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Contact__��A�� ��.�-� v�� � Email
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Address �j�b L�v� ner�c� c(7Y � ��v� �rc� �r�e wi
State Credential#'s � �� � , �� � (�,3 �-- ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# k
Achitect/ Company Name ��vv� Phone �
Designer ;
Contact Email
Address
Permit Type esidential Single Famil Residential Duplex Commercial Multifamily Industrial
Catagory w Addition Alteration
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Project �r,��^ G� ��Q 0.v`Oi GL r�i,� w ,� ;
Descripfion
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �
� �� , n D� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Z3 Cash Permit Fee Account
1 certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
t e obtained. I acknowledge and agree to these terms.
Name: Y' �0. ��o.. ( (Please print) Date: S r� �� �
Signature: