HomeMy WebLinkAbout0155730-Building (concrete pad) � CITY OF OSHKOSH No 155730
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 202 W IRVING AVE Owner EXCEL PROPERTIES LLC Create Date 05/07/2013
Designer Contractor ANDERSON BROS INC
Inspector John Zarate
Category 256-Residential Driveway Plan
Type � Building � Sign � Canopy � Fence 0 Raze �
2oning R-2PD 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 0 Floating Slab 0 Pier � Other
0 Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/concrete pad abutting dnveway as approved by the zoning department *'check#5706
of Work I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval $0.00 Pertnit Fee Paid $68.00 Park Dedication $0.00
Issued By: � Date 05/21/2013 Final/O.P. 00/00/0000
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❑ Permit Voided I, Parcel Id# 1004650000
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 mentioned information.
Signature Date
AgenUOwner
Address 2222 WHITE SWAN DR OSHKOSH WI 54901 - 2567 Telephone Number 920-233-4286
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���sl� Oshkosh,WI 54903-1130
y f Phone: (920)236-5050
� F�: (920)236-5084
Building Permit Application �W���.oshkosh.W;.�s
Project /�'� IA 1 � �
Address �L/ � "" � r� n�
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �k c c� �rB D�w`���S �.-� Phone a 30 �3��o�.
Tenant �
Address ��O t'j�.,,�o �`� • s,..�'t� r�C-j a Email T" +�.�; `
Contractor �p prri �S. • cs
Company Name��f o n, �.o n.c�..�C-e Phone 5i�-379-4ac l
Contact �c�,e.. �n�•�iso� 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 Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition A teration
Project Gdzc�i.�..� G on.cr�e C�c; vc.. _-•�--�,
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ � 4�ro• � (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
btained. I acknowledg and agree to these terms.
Name: G c-�d� (Please print) Date: /
Signatur . �/ 1�J �y p1�0'At SIZII 1'� 9 �S17 Rl�'�
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