HomeMy WebLinkAbout0156972-Building (shed) � CITY OF OSHKOSH No 156972
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 327 W 7TH AVE Owner THOMAS UMARY E COOK REV TRUST Create Date 07/30/2013
Designer Contractor JACK CLEVEN INC
Inspector Nicole Krahn
Category * 162-Residential Raze Accessory Structure Plan
Type � Building � Sign � Canopy 0 Fence � 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 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR\Tear down 12'X 18'Shed
of Work �
i
,
, �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $350.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: �a� Date 07/30/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0902800000
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 u�sta e a re mentioned information.
Signature /.��� Date 7" -�� '!s
AgenUOwner
Address 2451 PATRIOT LN Oshkosh WI 54904 - 6924 Telephone Number 920-731-7416
* 162-Residential Raze Accessory Structure 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
� City of�S���SlG Oshkosh,WI 54903-1U0
� Phone:(920)236-5050
Fa�c:(920)236-5084
Building Permit Application �W���.oshkosh.w�.us
Project 1
Address 3�� w � s 1_ � :
Applicant Owner Contractar Tenant Other(describe)
Owner/ Name �v M G v��� Phone C�a�� �. , (�' � �g�
Tenant
Address �a� W , �'�"� � � Email
Contractor Company Name �Q C.k C,1 Q� �„ �n�. - Phone (9 ab� �3 �� l�`��b
Contact �� �, �� qel C�I�ve� Email �G � ��� C� �175 , N� �
Address a� �� � �}t' � o� 1�-.�,
State Credential#'s , , ` a;e� y �19
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 �2�� �ovv n 4, , S'`'� ��C � � � �. . 01' q e S Q�
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job r� �—
$ 3 J (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 the above information is complete and accurate. Any deviations from the above submitted information may requir�e additiona!permits
to be obtained. I acknowledge and agree to these terms.
Name:�/I,'c�i 9 t� � C�C vC i! (Please print) Date: 7- �°—��
Signature: G''%�����—�