HomeMy WebLinkAbout0156771-Building (install anchors) � CITY OF OSHKOSH No 156771
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1045 DEVONSHIRE DR Owner JAMES/STEPHANIE M PARSONS Create Date 07/18/2013
Designer Contractor SURE-DRY-BASEMENT SYSTEMS INC
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan
Type � Building 0 Sign � Canopy � Fence � Raze ;
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 � Treated Wood
Occupancy Permit _ Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature �SFR\Excavating north and east-installing anchors.All work to meet current code requirements.Any other work to be permitted I
of Work �Separately
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,920.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
issued By: � Date 07/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided j Parcel Id# 1311210000
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 h�ave read and under�tand t�mentioned information. Date �l�y�
Si nature `rl v�___� �
AgenUOwner
Address 754 W AIRPORT RD MENASHA WI 54952 - 1409 Telephone Number 920-967-9655
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR
Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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
n l�l-/-y �f OS���Sl� Oshkosh,WI 54903-1130
� �' Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application �'H'�'•ci.oshkosh.w�.us
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Address � �'�. ��,V 0(� ��,��p ,, ��--�L1.��J �
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Applicant Owner Contractor Tenant Other(describe)
Owner/ Name�l M ��S j��J Phone ��Q.1-3� �') '��� �
Tenant
Address S�r Email
Contractor Company Name 2!— Phone �(/ � "°l G �'��'1 (p,r�
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Contact \�'s-- Email
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Address Y�( �� � G��
State Credential#'s ��l�(�o�-� , ��d d��J ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � ' �� �„ (N h � �—
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �''..�
$ � �� (Value for materials&labor is req.to ensure wnsistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is conaplete and accurate. Any deviations from the above subn:itted information may requir�e additional permits
t be obtained. I ac nowledge and agree to these terms.
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Nan1e: �Q � (Please print) Date: ���� l,� �
Signature: r
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