HomeMy WebLinkAbout0156474-Building (deck & patio door) � CITY OF OSHKOSH No 156474
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1535 W BENT AVE Owner SARAH GOLDSWORTHY Create Date 07/01/2013
Designer Contractor OWNER
Inspector John Zarate
Category 043-Residential Decks Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1C 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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature RES/Install 14'by 14'deck and patio door per site plan submitted
of Work
""ck#1034**
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $75.00 Park Dedication $0.00
Issued By: T�� Date 07/01/2013 Finai/O.P. 00/00/0000
❑ Permit Voided; Parcel Id# 1201060000
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 under n e af re mentioned information.
Signature Date � � � ✓
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
� �'lt � OS!L�OS!L Oshkosh,WI 54903-1130
y f Phone:(920)236-5050
� Fa�c:(920)236-5084 `
Building Permit Application �W���.oshkosh.W;.us
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Address � 3� �/� �
Applicant Owner Contractor Tenant Other(describe)
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Tenant �
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Contractor Company Name Phone
Contact Email
Address
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Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name � �J ,� � r� Phone�� d".��' ��-
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Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project ��� `�� -1 � � L�
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job /�.�
$ �V V� (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 e above inf'ormation is complete and accurate. Any deviations from the above submitted information may require additional permits
to be bta ed. I acknowledge and agree to these terms. � ` �
Name: � (Please print) Date: r ~ �
Signature: