HomeMy WebLinkAbout0156098-Building (workshop) � CITY OF OSHKOSH No 156098
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 4411 ISLAND VIEW DR Owner JEFFREY M/DIANE J GROFF Create Date 06/11/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 150-Residential New Garage Plan
Type � Building � Sign � Canopy � Fence 0 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 400 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
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR/Construct 25 X 16 workshop and install new concrete walkway. �
of Work !
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HVAC Contractor Plumbing Contractor
Electric Contractor UNKNOWN????
Fees: Valuation $11,000.00 Plan Approval $25.00 Permit Fee Paid $97.00 Park Dedication $0.00
Issued By: � �— Date O6/11/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id# 1560130200
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 an necessary rovals before starting such activity.
I have read and under the afor tione inf ation. /� Z
Signature Date {U '—1/�/
AgenUOwner
Address Oshkosh WI 54901 - 0000 Telephone Number
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
� l.,lt � OS!L�OS!� Oshkosh,WI 54903-1130
y f Phone: (920)236-50�0
� F�:(920)236-5084
Building Permit Application �W��►.oshkosh.W;.us
Project
Address � � �� �,5 1�e. vt p( u �� h/ � !''i
Applicant Owner Con ractor � Tenant Other(describe)
Owner/ Name �Q -�� �vzy ..�..� Phone� 7 9 �- (�, ���
Tenant
Address '�I � 1 � � � l.c ,�•� � ��w �f� Email
Contractor Com an Name e Yl�✓�
P Y 1�1'm G-a-.�eQ ���5 � Phone �-/ 7 C� ^ U�-1 �
Contact���t� ln--��r�-., � Email Y'A Ca ��n a..� ��.l c�-�,OU . C��^�;
Address �� fo [�, rt ✓1 erv�.l 1��'� �v►n f /'�c ✓�c � (,�} � S
State Credential#'s � � �� , 9 � $� � � ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Com an Name
Designer p y �a"�� Phone
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �� (� � C��-�S� � �Ld-�-t�-�-el O'�Ntv-�a�
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job / � y 0 � ( q. y g p pp )
$J � Q�V Value for materials&labor is re to ensure consistenc in accessin ermit fees for all a licants.
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: C c-y" p� � /�c� 1 (Please print) Date:�v —/ I� � 3
Signature:
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