HomeMy WebLinkAbout0157387-Building (replace front porch) � CITY OF OSHKOSH No �s73s�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1221 GRAND ST Owner TIMOTHY UANGELA M BRIGGS Create Date 08/22/2013
Designer Contractor OWNER
Inspector John Zarate
Category 043-Residential Decks Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block 0 Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/REPLACE EXISTING FRONT PORCH IN THE SAME LOCATION PER SITE PLAN SUBMITTED/All work will meet state and
of Work local codes/footings installed per plan
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $69.00 Park Dedication $0.00
Issued By: ��� Date 08/22/2013 Final/O.P. 00l00/0000
� Permit Voided', Parcel Id# 1506990000
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and und tand the afore mentione information. { �� , I�
Signature Date �
e wner
Address Oshkosh WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your account.
Project Address: �-,�'_.� ' C�-��(;�,�1� � t Circle one: in le Famil Duplex
Owner's Name: �;n ,e � ;1 p(c� � S Daytime Phone #: �o- ,;J6 °��s�/
Contractor's Name: �-e,. l Daytime Phone #: �,;�� - 7��"$���
If the contractor is applying for the permit provide the following:
Dwelling Contractor# —'— Contractor Qualifier#
*These two credentials are required by the State of Wisconsin Safety and Buildings Division for any contractors
conducting work on residential property.
Value of the project including labor and material costs $
*The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants
even if you're doing your own work. A general rule of thumb is to double the material cost or provide an estimate '
from a contractor.
Full description of the work being done:
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Any work not noted on.this application will not be included on the permit!
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The:follo�g�documents are attached to tlus applicahon
u ����k�`�'�a��x�°a� �"*�s ���r,�r,'s� -r �� � i �x� t - �'
` r '4 �`�¢`0 2 site plaris i.' � ❑ ,2 Sets of Applicable.Frammg plans , ❑ .Applicable fees ,; ��)�.
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Please read the following and sign and date this application prior to applying for the building permit.
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional reviews and permits to be obtained. I acknowledge and agree to these
terms.
Signature: Date:
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