HomeMy WebLinkAbout0156299-Building (driveway) � CITY OF OSHKOSH No 156299
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 681 EVANS ST Owner ROBERT L STOCKINGER Create Date 06/19/2013
Designer Contractor BILL'S CONSTRUCTION
Inspector John Zarate
Category 256-Residential Driveway Plan
Type � Building � Sign � Canopy 0 Fence 0 Raze
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection 'I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � 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 #Dweiling Units 0 #Structures 0
Use/Nature RES/Install 59'by 11.5'concrete driveway per site plan submitted '"check#2402
of Work
I
,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valua ' n $2,500.00 Plan Approval $0.00 Permit Fee Paid $82.00 Park Dedication $0.00
Issued By: Date O6/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1102540000
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 ders the afore entio i ation
Signature Date
AgenbOwner
Address 3071 BELLAIRE LN OSHKOSH WI 54904 - 0000 Telephone Number 920-379-0206
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!��OS!G Oshkosh,WI 54903-1 1 30
y f Phone: (920)236-5050
� Fax: (920)236-5084
Building Permit Application �W���.oshkosh.W�.us
Project
Address ��� �U�`�S
Applicant Owner Contractor Tenant Other(describe)
Owner/ N�e ��j Phone J��� '— C ��
Tenant
Address �y�� /�LGc ws' Email �
Contractor Company Name ,' n,� c�a`0'� Phone 3'7 � 'd� d(�
Contact Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esi tial Single Famil " Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �Gu r" ,�i.J � h c ���� l�/`�`I!� w4U
Description
Mechanical Separate permits will be obtained far the following:
Permits Electrical by Plumbing by Heating by
Value of Job '� a�
$ �_J�P (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # c�`I �a Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted injormation m requir additional permits
to be obtained. I acknowledge and agr e to these terms.
Name: ���� �0��� (Please print) Date:
�
Signature:�