HomeMy WebLinkAbout0155681-Building (concrete pad & shed) � CITY OF OSHKOSH No 155681
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2877 W 9TH AVE Owner HARVEY/DEBBIE BOUSHELE Create Date 05/16/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 151 -Residential New Shed 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 0 Treated Wood
Occupancy Permit Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Install new 12 x 14 concrete pad and shed in rear yard/per zoning requirements
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,700.00 Plan Approval $0.00 Permit Fee Paid $62.00 Park Dedication $0.00
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Issued By: ,� t� � Date 05/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided j Parcel Id# 1342170100
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 understand the afore mention information. /
Signature Date ,� l� —< 3
AgenbOwner
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 � �Tf{�1,!'� Circle one: Single Fami Duplex
Owner's Name�,2(/�yr � U US C',�� Dayt'ime Phone#�9p?O"�o��Z���Z�
Contractor's Name: Daytime Phone #:` 9a�"�oZ�����y7'
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 properry.
Value of the project including labor and material costs $ D �
*The value for both materials and labor is required to ensure con istency in assessing permit fees for all applicants
even if you're doing your own work. A general rule of thumb is to double the material cost or provide an estimate
from a contractor.
Full description of the work being done:
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/oZ X l � c Q�c2 C' r� �S.,C.�{�, /�Z 7C C `� �70`.�.4� �
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Electrical Work is being done by: /�(/U iy E'
Any work not noted on this application will not be included on the permit!
The following documents are attached to this application:
❑ 2 site plans ❑ 2 Sets of Framing& Wall Bracing Plans (garage) ❑ Applicabie fees
Please read the following and sign and date this application prior to applying for the building permit.
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional reviews and permits to be obtained. I acknowledge and agree to these
terms.
Signature. � Date:
4 10/24/2012