HomeMy WebLinkAbout0156648-Building (pool) � CITY OF OSHKOSH No 156648
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 75 FARMSTEAD LN Owner BRET D/CARMELLA M UPTAGRAFT Create Date 07/11/2013
Designer Contractor OWNER
Inspector John Zarate
Category 252-Pools-Above ground Plan
Type � Building � Sign � Canopy � Fence � 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 Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature RES/Install 52"deep above ground pool.
of Work I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,200.00 Plan A roval $0.00 PermitFee Paid $76.00 Park Dedication $0.00
Issued By: —k J. Date 07l11/2013 Finai/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1528340000
In the performance of this work I agree to perform all work overning the described construction.
While the Ciry of Oshkosh has no authority to e easement restrictio of which it is not a party, if you perform the work
described in this permit application w' ' n ease ,the City stron urges the permit applicant to contact the easement
holder(s)and to secure a a als before starti uch activity.
I have read and und rst men'on inform ' -
Signature Date �/ �/
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�� :
�
,�f
.�
�
i � � � ' � � 1 . �
��/ • � � �
❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
� �
Project Address: �s J K/�f�$�� Circle one: in I�au�i�uplex
Owner's Name: ��� l/ � /l� Daytime Phone #: �4ZD� ��a'`��.3
-�
Contractor's Name: (''�,�{p,y� ����" 5� L<i�t� Daytime Phone #:
If the contractor is applying for the permit provide the following:
Dwelling Contractor# Contractor Qualifier#
*These hvo credentials are required by the State of Wisconsin Safery and Buildings Division for any contractors
conducting tivork on residential properry.
Value of the project including labor and material costs $ �d�'�
*The value for both materials and labor is reguired to ensure consistency in assessing pernzit fees for all applicants
even if you're doing your own work. A gener�al rule of thumb is to double the rnaterial cost or provide an estimate
from a contractor.
Full description of the work being done:
���L �'n 5 �/L���o�v
Electrical work is being done by:
Any work not noted on this application will not be included on the permit!
The fallowing documents�re attached to tl�is applicatian: '
0 2 Site plans o App�icable fees'
Please read the following and sign and date this application prior to applying for the building permit.
1 cert�the above information is com lete and accurate. Any deviations from the above submitted
information may require �o evi d permits to be obtained. I acknowledge ancl agree to these
terms.
Signature: Date: � ���/�
4 1/4/2013