HomeMy WebLinkAbout0155494-Building (handicap ramp) � CITY OF OSHKOSH No �s54sa
�
OSHKOSH BUILDING PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 723 S WESTFIELD ST Owner DENNIS R BAUMAN Create Date 05/07/2013
Designer Contractor CUSTOM CARPENTRY LLC
Inspector Nicole Krahn :
Category 045-Ramps Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
Zoning C-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 Pertnit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR\Concrete handicapped ramp according to attached site plan
of Work
�
HVAC Contractor Piumbing Contractor
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $68.00 Park Dedication $0.00
Issued By: �� Date 05/07/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0612270000
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 a provals before starting such activity.
I have read and u et the Ner� information.
Signature �/ Date �^7 ,�
AgenUOwner
Address 6857 MOUNTAIN RD PICKETT WI 54964 - Telephone Number 920-410-4146
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.
,
i � � � ' � 1 � • •
� • � � - � � �
❑ 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: ��� s � ��S��� Circle one: Single Family Duplex
Owner's Name: !�-�L��- ���`�Z Daytime Phone #: Q�� `�f�"�/��'
Contractor's Name: ��.`r'�R� ��,'�� z- �'ay�e� �c�P�'`���Daytime Phone #: �
If the contractar is applying for the permit provide the following:
Dwelling Contractor# /� �(��g Contractor Qualifier# ( ���� � �
*These two credentials are required by the State of Wisconsin Safery and Buildings Division for any contractors
conducting work on residential property. .
Value of the project including labor and material costs $ ���'�
*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:
�r � ��✓ � �'�u.c�e `C"e �� � "�`t� T 1..� � S `�'_
Any work not noted on this application will not be included on the permit!
The followfng documents are attached to tl�us application - ��
��:
; �2 site plans o` 2 Sets of Applicable Frairiing plans � Applicable-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 add'tio al r views and permits to be obtained. I acknowledge and agree to these
terms.
Signature: Date: � `� � �3
4 5/5/2011