HomeMy WebLinkAbout0158388-Building (handicap ramp) � CITY OF OSHKOSH No 158388
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 748 W 6TH AVE Owner JAMES A/JEANNE M KAIRIS Create Date 10/22/2013
Designer Contractor OWNER
inspector Nicole Krahn
Category 143-Ramps-Temporary Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning C-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 � Floating Slab � Pier � Other
0 Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature iSFR\ dH acina p ramp according to attached site plan
of Work , I
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HVAC Contractor __ Plumbing Contractor
Electric Contractor
Fees: Valuation 500.00 Plan Approval $0.00 Permit Fee Paid _ $62.00 Park Dedication $0.00
Issued By: Date 10/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided�, Parcei Id#0604080000
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 a�ssan�..approvals before starting such activity.
I have read and n�r�and the afore melr ti e�+' 7may`� . �"�
Signature -� - Date / �
AgenUOwner
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
� �.LLy �f OSlL��SlG Oshkosh,WI 54903-1130
� Phone:(920)236-5050
FaY: (920)236-5084
Building Permit Application �'�'�'•ci.oshkosh.w�.us
Project 1l i � '
Address �7 � W, ����f� ��\'��SS�
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Applicant Owner �ontractor .�l> Tenant Other(describe)
Owner/ �
Name � �' S Phone
Tenant
Address `� � ' �,� Email
Contractor ��'� � �
Company Name ) _/r ��,�+.�-'���n_e� Phon� �(�l �����3
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Contact��a�, � ,�__�r,,,.J-ul-�` Email`('oq o,�1'��n�.s�»•�t �.
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Address �C��n � ��� � ����o�� ��1--� �7���Q ...
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State Credential#'s Csz�f� , � ,
Dwelling Contractor Qualifier# Dwelling .ontractor# Building Contractor Registration#
Des�tner/ Company Name PhoneC���3��ll�Z
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� Contact ��__.�._-,�.i � .�.�b���� Email �
Address � � ' � ' � � �
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � `
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Vatue of Job �- �
$ 7 C�� - (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicar�ts.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations fro�n the above submitted information may require addilional permits
t ned. I acknowled e a agree to these terms. �
N3me: f1�_...,.._.._,/ �_ -._ . � . , ' (Please print) Date: J a _
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Signature: � ./ -�_ l�-_� -.�