HomeMy WebLinkAbout0155395-Building (deck) � CITY OF OSHKOSH No 155395
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 751 BISMARCK AVE Owner CATHERINE A HAYES Create Date 05/02/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 256-Residential Driveway Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
Zoning R-2 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 � Other
0 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 12'by 11'4"deck and open parking next to garage per site plan submitted/deck will not be attached to the house structure
of Work and is not being used as an exit from the house/deck is existing but will be disassembled and redone the same size but in different
location as of now iYs part of the detached garage/concrete slab extension will have a grade beam installed for future expansion of �
arage not part of this permit
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,500.00 Plan Approval $25.00 Permit Fee Paid $82.00 Park Dedication $0.00
Issued By: ---�� Date 05/02/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0602530000
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 und anc►'�he afor tioned information. � ^ �
Signature ��, fJ ` Date
AgenUOwner
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.
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POBox1130
� �'�t'� �� �5����� Oshkosh,WI 54903-1130
Phone: (920)236-5050
� ' Fax: (920)236-5084
�uilding Perrnit Applic�tion �'�'�'•ci.oshkosh.wi.us
Project os �l�-C� �!� � S Q
Address � r $ yl�l a�'�.' v,� � � y�---�
Applicant Owner ❑ Contractor ❑ Tenant ❑ Other(describe)
�'n Name '� CG�� �S�- �� Phone
Tenant -��� ���^/���
Address 7�/ �r5�n�c/C �j u.P Email
Contractor Company Name ��� Phone
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 ❑ Residential Duplex 0 Commercial ❑ Multifamily ❑ Industrial
Catagory ❑ New ❑ Addition ❑ Alteration
Project R�$vl / G.�l� eL� -e_ U � � `' � �
Description
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Mechanical Separate permits will be obtained for the following:
Permits ❑ Electrical b ❑ PlumbinQ b
Y b Y ❑ Heating by
Value of Job
$ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: ❑ Check # ❑ Cash � Permit Fee Account
1 certify the above infornsation is complete and accz�rate. Any deviations fi•om the above sz�bnzitted information may require additional permits
to be obtai�sed. I acknotivledge and agree to these terms.
Name: � (Please print) Date: �
S ignature: