HomeMy WebLinkAbout0155842-Building (driveway extension) � CITY OF OSHKOSH No 155842
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 937 COZY LN Owner MICHAEL S/DIANE P GRISWOLD Create Date 05/28/2013
Designer Contractor VIENOLA BROS CONSTRUCTION INC(CONCRETE)
Inspector John Zarate
Category 256-Residential Driveway Plan .
Type � Building 0 Sign � Canopy � Fence � Raze �
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 � Floating Slab � Pier � Other
� 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
UselNature SFR/Constructing driveway extension to garage built in 2011 **debit acct
of Work
i
,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $76.00 Park Dedication $0.00
Issued By:��� Date 05/28/2013 Final/O.P. 00/00/0000
� Permit Voided� Parcel Id# 1519620114
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure y necessa approvals efore starting such activity.
I have read and un st d the tio d info ion. �
Signature Date ,��
AgenUOwner
Address 1602 OREGON ST OSHKOSH WI 54903 - 8042 Telephone Number (920)303-0934
To schedule inspections please call the inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P O Box1130
� �l�y �f OS���s� Oshkosh,WI 54903-1130 '
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application "'"'`"'".°Shk°S".""'.°S
Project L / .
Address ��-�
Applicant Owner r cto Tenant Other(describe)
Owner/ Name Phone
Tenant
Address Email
Contractor Company Name //'j�"�v/� /��d$ Phone C� z� �y�� ��/�j�
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Contact �j�'�f,�' ���il�d f� Email
Address�J�/�d� �d ��
State Gedential#'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 � � �
-7/-��v-�� � �
Description v
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job ��y' �
$�� ,(/ (Value for materials&labor is req.to ensure wnsistency 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 sub»:itted information may require additiona!permits
to be obt ed. I acknowledge and ee to these terms.
Name: E������ (Please print) Date: S
Signature: