HomeMy WebLinkAbout2013-Building (driveway) � CITY OF OSHKOSH No 158036
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1235 MARICOPA DR _ Owner ANTHONY S/SALLY GIORDANO __ Create Date 09/30/2013
Designer Contractor M&J WEITZ ENTERPRISES LLC.
Inspector Nicole Krahn
Category 256-Residential Driveway Plan
Type � Building � Sign � Canopy � Fence � Raze
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Zoning R-1 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 0 Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required :
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/Replace existing concrete driveway and walk **check#1050 ,
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation _ $4,305.00 Plan Approval $0.00 Permit Fee Paid $196.00 Park Dedication $0.00
Issued By:��✓ Date 10/01/2013 Final/O.P. 00/00/0000
❑ PermitVoided Parcelld# 1312710000
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 tand the�af r,e ntioned information.
Signature ,�%�:��-tiv i Date ��Z G%3
Agent/Owner
Address 2866 COLLEEN CT OSHKOSH WI 54904 - 7626 Telephone Number (920)642-3197
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 Box113a
� �'l!,y �f OS!L��s� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
FaY: (920)236-5084
Building Permit Application ���►.oshkosh.wi.�s
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Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �G( �t� Phone
Tenant
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Contractor Company Name �.�(�(��{2 ����fJ�c��S Phone-_ � Z��y Z '�t� 7
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State Credential#'s , (��s�(Z b , (o�S�S �Z(�
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Emai1
Address
Permit Type esidential Single Fami Residential Duplex Commercial Multifamily Industrial
Catagory New Addition ltera '
Project ��,� �,yiS�v yC/t-�L
Description -
Mechanical Separate permits will be obtained for the following: `
Permits Electrical by Plumbing by Heating by
Value of Job �+
$__ �. 3�-� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify the obove informaaion is con:plete and accurate. Any deviations from the above submitted information may requir�e additional permits
to be obtained. I acknowledge and agree to these terms.
N3TTle: i �i/GJ�ai G�i Ll�f'7 (Please print) D3t0: �����Z�,�
Signature: ��