HomeMy WebLinkAbout0158384-Building � CITY OF OSHKOSH No 158384 ,
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER •
Job Address 2450 KINGSTON PL Owner MARK A/CONSTANCE A HYLER Create Date 10/22/2013
Designer Contractor FRANK CONTRACTORS
Inspector Nicole Krahn
Category 111 -Single Family Addition Plan
Type � Building � Sign � Canopy � Fence � Raze I
2oning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection ',
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage 252 Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other :
� Concrete Block � Post � Treated Wood 48"frost walls
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Constructing a 12'by 21'attached garage addition and new concrete driveway leading to addition per site plan submitted.
of Work ',
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HVAC Contractor Plumbing Contractor
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $15,999.00 Plan Approval $50.00 Permit Fee Paid $70.36 Park Dedication $0.00
issued By: , C'��� Date 10/22/2013 Final/O.P. 00/00l0000
� Permit Voided' Parcel Id# 1313500000
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 an ry approvals before starting such activity.
i have read and rstand the af 9tto'�ied information.
Signature Date � Z•Z Oj"
AgenUOwner
Address 3045 SHELDON DRIVE Oshkosh WI 54904 - 0000 Telephone Number 920-428-0694
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
� City of Os���s/L Oshkosh,WI 5490�-1130
� Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application �'H'�'•ci.oshkosh.W;.us
AaareSS o2 4�'(� f<f�1G'STo✓1 PC.�tCE� �S lfka5tl- ���r� y
Applicant Owner Contracto Tenant Other(describe)
Owner/ Name C'D I'� 1� ( � � `I��-�1Z Phone 9ao�i�/8�J�
Tenant
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Address �{�m E-� Email
Contractor Company Name �RA��k �'o�J ��Acro�� L L C Phone
Contact Email
Address
� State Credential #'s , ,
� Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ � Company Name Phone
esig
Contact Emai 1
`w Address
� Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New rtion � Alteration
Project � ��� C/�12�'� l�?j�.j �T!v�
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by �
Vatue of Job �— q
$ JO , �9/. � � (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 above information is con:plete and accu��ate. Any deviations from the above submitted information may require additional per�mits
� to b . edge �gree to these terms.
Name: � (Please print) Date: �� ZL 2���
Signature: .L��}r�/�L /��/�F