HomeMy WebLinkAbout0155806-Building (deck) f
� CITY OF OSHKOSH No 155806
� ,
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2102 JEFFERSON ST Owner MICHAEL S/JENNIFER A RETELLE Create Date 05/24/2013
Designer Contractor INSIDE OUT CONSTRUCTION
Inspector John Zarate
Category 043-Residential Decks Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 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 � Pier � Other
� Concrete Block 0 Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Fiood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature RES/Replace existing deck with a new 12'by 14'deck 38 inches above grade per site plan submitted
of Work
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Pertnit Fee Paid $76.00 Park Dedication $0.00
Issued By: ��vy� Date 05/24/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1515900000
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 tion d information.
Signature �� �,_,� Date f- ���/3
Agent/Owner
Address 5833 KOELPIN RD OSHKOSH WI 54902 - 5879 Telephone Number 920-426-9562
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���s!� Oshkosh,WI 54903-1130
y ,f Phone:(920)236-5050
�� � Fax: (920)236-5084 �
Building Permit Application �W���.oshkosh.W�.us
Project
Address ���� ���-,���,�n/
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Applicant Owner ontract Tenant Other(describe)
Owner/ N�e �j l�� ��P��� Phone
Tenant
Address Email �
Contractor Company Name 2��.,�.r,J�e //� �,',��z�G��qnJ Phone
Contact ��,. j ,��,�;,j�� � Email
Address S 3 �1� -''�
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State Credential#'s �,J��y� �_, ������ ,
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 3
Catagory New Addition Alteration
Project �/���>t� ��l ��� ,G/� � S�? f/ �i�1cJ �%J> 'E',?�
Description —�
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Mechanical Separate permits will be obtained for the following:
Permits Electrical b Plumbin b ,��
y g y `� �` Heating by ✓�/
Value of Job $ ���� �n
� (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 above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: � - � (Please print) Date: ����� �
Signature: �