HomeMy WebLinkAbout0158133-Building (driveway) �
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� CITY OF OSHKOSH No 158133
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD '
ON THE WATER �
Job Address 1313 E MURDOCK AVE_ Owner JAMES E/JANE HOFFMAN Create Date 10/07/2013
Designer Contractor ANDERSON BROS INC
Inspector John Zarate
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Category 256-Residential Driveway _ ___ _ __ Plan
Type � Building � Sign _� Canopy � Fence � Raze J }
Zoning R-1 Ciass of Const: giZe
- t
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 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 DRIVEWAY PER PLANS --
of Work '
"ck#18193"' I,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,400.00 Plan Approval $0.00 Permit Fee Paid $89.00 Park Dedication $0.00
�ssued By: �J� Date 10/07/2013 Finai/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1525540000
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 und afo ntion formati
Signature Date �� 7l�
AgenUOwner
Address 2222 WHITE SWAN DR OSHKOSH _WI 54901 - 2567 Telephone Number 920-233-4286
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
� �lGy �f Os���s� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ��ci.oshkosh.w;.�s
Project � � � n
Address GC/'d�6 �
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name -P .�✓1-C � � a-3��3 &�v `
Tenant O �"'b� Phone
Address ��� 3 � � �ac s��� eJk_,�'T�� Email t
Contractor Company Name �/ v ti �J'i C, Phone a33 a� o a
Contact ��1�1�,� �e-��e.�SQ-'� Email �
Address ��� �5'/YQ�r�`S o:1 � ��o� L -��� �
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# �
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Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial �
Catagory New Addition eration
Project __�-2lY�o�,� � "� r"Polcc.��e•�'7'L o� �/�`I�T^�e �D v1C r�`�
Description �
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ � �p0, Op alue for materials&labor is re to ensure consistenc in accessin rmit fees for all a Lcants.
� N 9• Y g Pe PP � )
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 additional permits
to be ob I ckno edge and a ee to these terms.
Name: �<<'�C��3 ��.��✓'So� (Pleaseprint) Date: /�/7� ��
Signatur��
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