HomeMy WebLinkAbout0157167-Building (driveway) � CITY OF OSHKOSH No �s��s�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 683 GRAND ST Owner AARON J/SARAH E MCANINCH Create Date 08/12/2013
Designer Contractor OWNER
Inspector John Zarate
Category 256-Residential Driveway Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
2oning R-2PD 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 0 Post � Treated Wood
Occupancy Pertnit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/install asphalt driveway �
of Work
I
' I
I
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,300.00 Plan Approval $0.00 PermitFee Paid $82.00 Park Dedication $0.00
Issued By: �� Date 08/12/2013 Final/O.P. 00/00/0000
❑ Permit Voided I, Parcel Id#0403950000
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 se re any necess ry approvals before starting such activity.
I have read an derstand t af re mentioned information.
Signatur ^`� �
Date
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.
.
� � � � � � � � . �
��j � • • � - � �
❑ 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.
l� / ,��.�.�.��5�y� ����.
Project Address: � rcle one: ingle Family Duplex
Owner's Name: j" c �� Daytime Phone#:�olQ���•�/�j�
Contractor's Name: " t�, ,
t Daytime Phone#: ��11 ��� '<��
.
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 labar 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:
!�1� �
Any work not noted on this application will not be included on the permit�
�.`����"�'��.�;�. ��1�°�`���*'�Y�'�'� - "",a.`�`��s �'���_ �F�``�"�"�,.,rM���r"�-�,�'����"r.��'����' �"r���;`� 8 t �:'�� �
��O�IO�VylI1Q��o�c�umen3s are attached to tlus applicahon.���.�:�,.�r��� �^� � r s � �z,v;����3`��1���
�'��!� �s��.t�t .:-9�'�`"�.��'� �a r ..
=s* �� �rtc t�}�.� � �; ,�ti. 5� . x-� �' � �4.. � �� x �.� � � � �
ut.t..�.e s�.�`,u�� �+�s!X�: � �t� °-r ' � � �. r ak �',�� � �- .
�,'�s S A� r� ��. ��'`Ca�a'a4"'k� �r��-s v 4# 4+ �j*`��4 `��, r +.:t� �Ev:.� '�,�' "'� "fr• � .� `""�.p �° '' a � .
�s; F n�'Yk`. �` e.. . svi y �t,y A -' s.v�r�� �. w� fe �.`?�3a y+�'�,-;r�, ra',:hd�,}°R-d�,�,:'�� � ��'.�'i'�z..�xr z.e+"*'2`i„��rp�i -� Y���'
��:�� fi � ��,�i�� �t��;��,� n Srte plan��� -� o Applicable�fees -��� x s��r�._-�,, ,,�����y� •
F-�t 4, . - �,�-n�.��+ #�' �."^�3���7.�p��C.:�- ; r F, - t ��, K Ra 4�' �� '5. �,'-'�', �#' �^� �''�� �y^�+y�� .� @, X�`� �
�. . �3',�Fe`��±riAT.�i�nYl��'�'+�.��....�L.t@'aT•�#b�..v.4�&'�',,.�kr�.,++iF�W.'3Ys.M1.-r a. � :k"�aJi�J"4.ey,�V���. s�H" ��, tt7 ,�..+'�:�#F� j U �AS�.� .
v,�'4,'�."�'..�+� "*i#�wi�gGe�c`s"k^.a,��'�.��- ` ,�ta���ketc�d�i�,aei�a,."� -.4 -
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:
4