HomeMy WebLinkAbout0155529-Building (garage) � CITY OF OSHKOSH No 155529
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 542 W 16TH AVE Owner CHANDA C ANDERSON Create Date 05/08/2013
Designer Contractor SUSTAINABUILD LLC
Inspector John Zarate
Category 149-Raze detached garage,construct detached garage Plan
Type � Building � Sign � Canopy 0 Fence 0 Raze _�
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage 528 Sq.Ft. Baths Signs
Foundation � Poured Concrete 0 Floating Slab 0 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 replace garage
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor JP ELECTRIC LLC
Fees: Valuation $14,200.00 Plan Approval $0.00 PermitFee Paid $62.00 Park Dedication $0.00
Issued By: —Nh Date 05/OS/2013 Final/O.P. 00/00/0000
� Permit Voided� Parcel Id# 1301280000
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. nderst d the afor m ntioned information. �
Signature /'��-� p� ����_ Date S'v���
Agent/Owner
Address 540 E BLACKWOLF AVE OSHKOSH WI 54902 - 9185 Telephone Number 920-420-5020
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
� �'lt�,/ �f�s���slL Oshkosh,WI 54903-1130
,J .J Phone:(920)236-5050
� Fax: (920)236-5084
Building Permit Application �W��►.oshkosh.W�.us
Project � /
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Applicant Owner Contractor Tenant Other(describe)
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Tenant
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State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name N 1� Phone
Designer
Contact Email
Address
Permit Ty e Residential Single Fam' Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Proj ect �.�,�� �}c 5 h� r.� a r�,,� `G ��� � /�-UT r�J Z Z 1� Z�(� ��,�
Description _
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S u^,-(-- s ' ��.- . =� ''�G r c1���c � /V G�t/ l—t,v�t p�,F-�U/1 ,
Mechanical Separate permits will be obtained for the following:
Permits Electrical bys�P Plumbing by N A- Heating by N'�
Value of Job �t oJ
$_ '� Z��� (Value for materials&labor i__ o enswe consistency in accessing permit fees for all applicants.)
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Payment by: Check # 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 e obtained. I acknowledge and agree to these terms.
Name: �i�✓1' � (Please print) Date: �v - Z��3
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Signature: � , �,� ��—