HomeMy WebLinkAbout0157980-Building (deck) � CITY OF OSHKOSH No 157980
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 428 CHURCH AVE Owner MARLO C/PATRICIA E AMBAS Create Date 09/27/2013
Designer Contractor ROAN CONSTRUCTION LLC
Inspector John Zarate
Category 043-Residential Decks Plan
Type � Building 0 Sign � Canopy 0 Fence 0 Raze �
Zoning R-2PD Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection !'i
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating S�ab � Pier 0 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/Install 10.75 ft by 6ft deck in rear yard per site plan submitted/all work will meet state and local codes for installation
of Work
li
i
J
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,844.00 Plan Approval $25.00 Permit Fee Paid $69.00 Park Dedication $0.00
Issued By: -v • Date 09/27/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id#0702370000
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 unders n afore mentioned information. �
Signature `��i�� V �/ ` Date ��Zv�
AgenUOwner
Address 1450 PHEASANT CREEK DR. Oshkosh WI 54904 - 0000 Telephone Number 920-379-0029
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.
� � ! �' . � � g . ,
f • a - � a i •
❑ Check this box if you are a contractor participating in the Permit Fee Account 5ystem and you would
like this pern�it processed through your account.
Project Address: 428 Church Ave. Oshkosh WI. Circle one� Single Famiiy Duplex
Owner's Name: ��Io and Patric=ial�[nbas _ . __Daytime Phone#: 920-376-0198
Contractor's Name: Roan ConstrtlCtipn LLC: Daytime Phone#: g2p_;�79_0029
If the contractor is applying for the permit provide the following:
Dwelling Contractor# 12f�114� Cantractc�r Qualifier# 1261_140 _
*Tftese two credentials are reguired bv the State c�f Wisconsif�Safet_y CI)YCI Bt{t(G��)y�TS DLVlSiOtZ f07"Qi71'contracturs
cortductittg work o�a r-esidential pr'operh�.
Value of the project including labor and material cosks $ $1844.00
�The value for-both mater-ials a�id labor•is�•eguired to e»sure corisisiericy i��a assessing per-�t�it fees for all applica�zts
evefT i/:you're doing your-own wnrk. A getzet•al rule of thtunh r.s to double the muterial co.rt or provide an estirnate
Jront a conlr•uct�r.
Full description of the work be�ng done:
Remove a Small amni int nf rnnr.rP " " gyy
4' x 6� dPrk �nder existina �gresssina�atl -�of home ReTl�ce an�_concr -
b�ginn�af nrc�}eCt --- ___ -- _ '
Any wortz not noted on this application wiil not be included on the permitl
The following documents are attached to this application:
� site plans �2 Sets ci��'���plicable Frafning �ians �Applicable Cees �'
Please read the following and si�❑ and date this application prior to applyin�;for the building permit_
I certify the above if�fof-rnation is complete and acca�ratc. An}�deviatio�zs fr-om the crbove suhmittecl �
r."nformatior� ina>>f-eyuire additioraal r-eviews a�td pernzits to he obtutned. I acknowledge afid czgree to these �
terms.
._--
Signature:__ ------ —_-- Date: �J� �r/ �
4 1/�iZt)13 �