HomeMy WebLinkAbout0155499-Building (patio & garage approach) � CITY OF OSHKOSH No 155499
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1610 OREGON ST Owner RICHARD GEHRKE/CYNTHIA LANGLITZ GEHRKE Create Date 05/08/2013
Designer Contractor VIENOLA BROS CONSTRUCTION INC(CONCRETE)
Inspector Nicole Krahn
Category 044-Residentiai Patios Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning C-3 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
� 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 5'X 20'GARAGE APPROACH AND 10'X 13'CONCRETE PATIO PER SITE PLAN SUBMITTED "'debit acct
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valu ' n $800.00 Plan Approval $0.00 PermitFee Paid $68.00 Park Dedication $0.00
Issued By: (,� Date 05/08/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0305340000
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 secu�e any neces ry pprovals fore uch activity.
I have read and�nde�and t f inentio info ' n.
Signature Date � �
AgenUOwner
Address 1602 OREGON ST OSHKOSH WI 54903 - 8042 Telephone Number (920)303-0934 j
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 � OS��OS� Oshkosh,WI 54903-1130
y ,f Phone:(920)236-5050
� Fax: (920)236-5084
Building Permit Application WWW��l.oshkosh.W►.�s
Project
Address � �/e �
Applicant Owner ontra Tenant Other(describe)
Owner/ Name Phone
Tenant
Address Email
Contractor Company Name /��C��°l� L��-S Phone ���� yy��
Contact Email
Address �a (�`��� G d �Z
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 Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �c.�� / "P�� ���7 �Q������ �,�Z�
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �rt �
$'���/ (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 information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name: J 7T�'�'�' C���� (Please print) Date: � 3
Signature: -�
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