HomeMy WebLinkAbout0055204-Building � CITY OF OSHKOSH No ss2oa �
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER – Cj•-
Job Address 3098 LAKE REST LN Owner KATHLEEN ROE MORTELL Create Date 10/07/1996
Designer Contractor MATHWIG BUILDERS
Inspector
Category 110-New Single Family Plan B5-166-996R
Type � Building � Sign 0 Canopy � Fence 0 Raze _ _
Zoning R1 Class of Const: 8 Size IRREG 39X41
Unfinished/Basement 0 Sq.Ft. Rooms 8 Height 25 Ft. ❑ Projection
Finished/Living 1600 Sq.Ft. Bedrooms 5 Stories 2 Canopies 0
Garage 0 Sq.Ft. Baths 2 Signs 0
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood —
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain Yes Height Permit Not Required
Park Dedication Not Required #Dwelling Units 1 #Structures 1
Use/Nature bove grade for a nsfr/Truss plans and design calcs must be on site at rough inspection or inspection will be rejected '
of Work ,
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HVAC Contractor TEELAZENTNER INC Plumbing Contractor SAMMONS PLUMBING
Electric Contractor
Fees: Valuation $60,000.00 Plan Approval $40.00 Permit Fee Paid $210.00 Park Dedication $0.00
Issued By: Date 10/23/1996 Final/O.P. 08/28l1997
❑ Permit Voided I Parcel Id# 1415760000
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 0 - 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 pe�formed within two business days from the time the project is ready.
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' � " CITY OF OSHKOSH No ooss2oa �
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD �
ON THE WATER €
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Job Address 3094 LAKE REST LN Owner KATHLEEN ROE MORTELL Create Date 10/7/96 '•
Designer Contractor MATHWIG BUILDERS 5/9/97 �
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Category 110-New Single Family Plan B5-166-996R
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Type Building Sign Canopy Fence Raze �
,
Zoning R1 Class of Const: 8 Size IRREG 39X41 �
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Unfinished/Basement 0 Sq.Ft. Rooms 8 Height 25 Ft. Projection �
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Finished/Living 1600 Sq.Ft. Bedrooms 5 Stories 2 Canopies �
Garage 0 Sq.Ft. Baths 2 Signs 1
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Foundation � poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Required Flood Plain Yes Height Permit Not Required
Park Dedication Not Required #Dwelling Units 1 #Structu�es 1
Use/Nature bove grade for a nsfr/Truss plans and design calcs must be on site at rough inspection or inspection will be rejected :
of Work '
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HVAC Contractor TEEIA ZENTNER INC Plumbing Contracto� SAMMONS PLUMBING "
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Electric Contractor �`��� �p
Fees: Valuation $60,000.00 Permit Fee Paid $250.00 � , �n�� Park Dedication $0.00
Issued By: � � Date 10/23/96 Final/O.R `
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Permit Voided �
In the pertormance of t ' I agree to pertorm ali work pursuant to rules governing the described construction.
Signature �. �� Date 0�"
AgenUOwner
Address 4098 OMRO RD OSHKOSH WI 54901 - 0000 Telephone Number 426-0009
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