HomeMy WebLinkAbout0157881-Building (driveway) � CITY OF OSHKOSH No 157881
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1203 MERRITT AVE Owner DAVID G BONELL Create Date 09/23/2013
Designer Contractor OWNER
Inspector Jon Mueller
Category 256-Residential Driveway Plan
Type � Building � Sign � Canopy � Fence � Raze i
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Fiood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/REPLACE DRIVEWAY
of Work �
'"*cash'* �
� -- --- -- �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $82.00 Park Dedication $0.00
Issued By: �J�1r- Date 09/23/2013 Final/O.P. 00/00/0000
L � Permit Voided'I Parcel Id# 1100810000
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 andr e stand th@ af m ' ned info ation.
Signature d�� Date Q�v2 3 ' ��
gent/Owner
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
� �lG y �f OS Gj��S Cj Oshkosh,WI 54903-1130
� ��' ��' Phone: (920)236-5050
Fa�c: (920)236-5084
Building Permit Application ��ci.oshkosh.W;.�s
Project ,t�/ /, �� .
Address d • / � C � � lT� d S f'����
Applicant Owner C�--eontractor Tenant Other(describe)
Owner/ Name��v L� %J 6111 CL�- Phone ��� � ��/2� � T,1��6�
Tenant
Address /�U 3 I`'� � � R � � � Email
Contractor Company Name Phone
Contact Emai I
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Sin 1 Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � �Q� U El.c�A-� �£�'G k�C. F�
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by — Plumbing by — Heating by
Value of Job —
$ ��O 06 (Value for materials&labor is req.to ensure wnsistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the a6ove information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name:�,�/�U� �GN C�L (Please print) Date: ��3�� .
Signature: �C��-- �`•��"��