HomeMy WebLinkAbout0157028-Building (driveway) � CITY OF OSHKOSH No �s�o2s
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1251 CEDAR ST Owner ROBERT A/SANDRA G ROBERTSON TRUST Create Date 08/02/2013
Designer Contractor ANDERSON BROS INC
inspector John Zarate
Category 256-Residential Driveway Plan
Type � Building � Sign � Canopy 0 Fence 0 Raze I
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
� 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/Replace existing driveway with a new concrete driveway,scope of work also includes razing 17'6"of exisiting garage area and
of Work �replacing it with a new garage approach per site plan submitted.
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $12,970.00 Plan Approval $0.00 Permit Fee Paid $143.00 Park Dedication $0.00
Issued By: Date 08/02/2013 Final/O.P. 00/00/0000
� Permit Voided'i Parcel Id# 1204220000
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 an ers enY " info .
Signature Date �-� �
AgenUOwner
Address 2222 WHITE SWAN DR OSHKOSH WI 54901 - 2567 Telephone Number 920-233-4286
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
� C�ll,y �f�S���S� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Faac:(920)236-5084
Building Permit Application WWw���.oshkosh.wi.�s
Project
Address
Applicant Owner � Contractor Tenant Other(describe)
Owner/ Name O� �O 2f'��SO Phone a�3(p 80 3
Tenant
Address / ��� ��'�a�" 5'� Email
Contractor Company Name ���✓j o�, �3 re s , ��'i C, Phone a 3�" �C � �
Contact ��'`r c`5 I'7(���°�^S ti7�l Email
Address �r�� ��it ir','�o� S��
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor RegisVation#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project , �dzCE' :1 � � -'.X� ��`� /'�`�G /cC C���
Description
c�rQ e `� �oo
,
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$_ ��� �7�� �0 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # � �D b l Cash Permit Fee Account
I cert�the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
ro be ined. I acknowledge and agree to these terms.
Name: �r�S �u�P_;�'Sar� (r�ease print) Date: � � � �
Signature:�����