HomeMy WebLinkAbout0155573-Building (driveway) � CITY OF OSHKOSH No 155573
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 316 SWEET ST Owner MR/MRS THOMAS P SKAUG Create Date 05/10/2013
Designer Contractor VIENOLA BROS CONSTRUCTION INC(CONCRETE)
Inspector :
Category 256-Residential Driveway Plan
Type � Building � Sign � Canopy 0 Fence � 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 Sq.Ft. Baths Signs
Foundation � Poured Concrete 0 Floating Slab � Pier � 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 �RES/REPLACE EXISTING DRIVEWAY WITH CONCRETE PER SITE PLAN SUBMITTED �
of Work
� --- — —
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $0.00 Pertnit Fee Paid $89.00 Park Dedication $0.00 '
Issued By: � /Vl Date 05/10/2013 Final/O.P. 00/00/0000
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� Permit Voided I Parcel Id#0205900000
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 sec an necessary approvals be suc ctivity.
I have read and derst d the ention atio
Signature Date S (1 �
AgenUOwner
Address 1602 OREGON ST OSHKOSH WI 54903 - 8042 Telephone Number (920)303-0934
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
�'Zt� ���5���.�� Oshkosh, WI 54903-1130
Phone: (920)236-5050
' ' Fax: (920)236-5084
�uilclin� Pern�it Application �'�'K'•ci.oshkosh.wi.us
Project
Address 3����/'Gf�� �
Applicant 0 Owner ontractor ❑ Tenant ❑ Other(describe)
Owner/ Name //C ,�/f/O��j�p,s Phone y�-y�g�
Tenant
Address � �i 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 � l�
Description '
��G�� �,� ��� ��1��
Mechanical Separate permits will be obtained for the followin�:
Permits ❑ Electrical by ❑ Plumbing by ❑ 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 `
I certify the a information is complet and accurate. Any deviations fi•om the above subnxitted inj�ormation nsay require acfditional pernzits
to be obta� ed. acknowledge mz aa to t se r/ms.
Nan1e: ��+�""6/� (Please print) Date: � c/ � �'�
Sib ature: