HomeMy WebLinkAbout0158078-Building (porch) � CITY OF OSHKOSH No 158078
j.
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 507 W 6TH AVE Owner DENNIS L RYCKMAN _ Create Date 10/03/2013
Designer _ Contractor PEAK TO PLATE BUILDERS LLC
Inspector Nicole Krahn
Category * 140-Interior Remodeling _ Plan
Type � Building 0 Sign � Canopy � Fence � Raze I
Zoning R-2 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
0 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\Changes to existing porch to gain compliance — —�
of Work '
I
�
I
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: /� Date 10/03/2013 Finai/O.P. 00/00/0000
❑ Permit Voided', Parcel Id#0600630000
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 a�d under d the afore mentioned information. �� �/�
Signature - Date
� AgenbOwner
Address 16 NEW YORK AVE _ OSHKOSH WI 54901 - Telephone Number 920-312-3465 :
* 140-Interior Remodeling 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 buiidings 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.
t
P O BOX 1130
� l�lty �f OSlL��S� Oshkosh,WI54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �W���.oshkosh.W�.�s
rro,jecc �jb F- I �� �]
Address � V�- �'��/�-
Applicant Owner Contrac Tenant Other(describe)
Owner/ Name ��c��1i S ��C�G�tQlr� Phone
Tenant
Address 5 U� �` �''" �T�- Email
Contractor Company Name ��Gc!G 7� ��7� �G��� Phone ��" ��� Z � �7��
� -�
Contact �Pl�v�/11G�� Jl��i�S�w Email
Address f�p � ���✓ �vJ'(� l�
State Credential #'s � /�ZL��7 , j(�J� , '
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Sin le F Residential Duplex Commercial Multifamily Industrial
Catagory New Addition terati
Project �x F�� �e� ,F �.�"
Description i
��,�� �� �c��
Lhs� �� a���
��ti l�lmd��,v� d��✓ec,�c
1��; � h��G � � l
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 3 �UQ- (�p (Value for materials&labor is req.to ensure consistency in accessing permit fees for a1l applicants.)
Payment by: Check # �j `�o Cash Permit Fee Account
I certify the above information is complete and accu�•ate. Any deniations from the above subn:itted information may require additional permits
to be obta e . I ac�-nowled�und agree to these terms
/ /
Name: {.(���y�iQG- �,t�Sc,L— (Please print) Date: 1� 3
Signature: � �