HomeMy WebLinkAbout0155402-Building (driveway) � CITY OF OSHKOSH No �s54o2
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 732 W 17TH AVE Owner DAVID R/DENISE P STRANGE 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-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � 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 SFR/Replace existing asphalt driveway with new concrete driveway I
of Work :
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I
HVAC Contractor Plumbing CoMractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $82.00 Park Dedication $0.00
Issued By: �l�• Date 05/02/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1301970000
In the performance of this work I agree to perform ali 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)a secure any necessary approvals before starting such activity.
I have r d n understand the re nt'oned information. r
Signature Date S �� "'l��j
� 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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❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
Project Address: 7� � l� � ? � �U-� Circle one: ingle Fami Duplex
Owner's Name• �9�� ,�,�� e S�a,�q� Daytime Phone#: c��-�� d�- s
Contractor's Name: ��' � � f Daytime Phone#:
If the contractor is applying for the permit provide the following:
Dwelling Contractor# Contractor Qualifier#
*These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $ �(9� � , av
*The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants
even ifyou're doingyour own work. A general rule of thumb is to double the material cost orprovide an estimate
from a contractor.
Full description of the work being done:
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Any work not noted on this application will not be included on the permit!
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Please read the following and sign and date this application prior to applying for the building permit.
I certify the bove information is complete and accurate. Any deviations from the above submitted
inform ion m require additional reviews and permits to be obtained. I acknowledge and agree to these
terms.
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Signa e: Date: .S�,� -- % 3
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