HomeMy WebLinkAbout0157282-Building (patio) � CITY OF OSHKOSH No �s�2s2
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1256 W 18TH AVE Owner HILDEBRANDT REV TRUST Create Date 08/19/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 142-Decks, Patios,Ramps Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-3 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. � Projection j
Finished/Livin9 Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab 0 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 patio&construct retaining wall/all work will meet state and local codes
of Work I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $96.00 Park Dedication $0.00
Issued By: �� Date 08/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1307310200
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 an ecessary approvals before starting such activity. '
I have read and un nd afore mentioned information.
Signature Date ZS � ����
� AgenUOwner
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.
� P O Box 1130
Clt''L/ �f OS/l.��SlL Oshkosh,WI 54903-1130
� .l Phone: (920)236-5050
F�:(920)236-5084
Building Permit Application �W���.oshkosh.w�.�s
Project f��/ � C I� /��
Address � (,P I o-w r-r
Applicant Owner ontract Tenant Other(describe)
Owner/ Name Pf/��C� l�(�ebrk���
Tenant r Phone
Address � Z5� W ( b� Email
Contractor Company Name �1� �(Gc � �S Phone �J ?ju - 3(2 "3��oS�
Contact �C�«1��K J Uw�nS J� Email cZ �v�l��J�oC �
Address �n/ d,✓`c �- �—
State Credential#'s ��Z204 CJ ���Z�7
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Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type sidential Sin 1 Residential Duplex Commercial Multifamily Industrial
Catagory e Addition Alteration
Project (�y(G�'/�C ��D ��k12—X����/G�G ���bUQ I�WS��c-� /�D�iC�
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job /1
$ �uV� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # l�1 Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations fran the obove subn:itted information may requir�e additional permits
to be o ined. I acknowledge and agree to these terms.
Name: ��1�`'L ���— � '1��13
(Please print) Date:
Signature: