HomeMy WebLinkAbout0158529-Building (shed) � CITY OF OSHKOSH No 158529
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 830 NICOLETAVE Owner WILLIAM L/LOIS M WELK Create Date 10/29/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 151 -Residential New Shed Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
Zoning R-1 Class of Const: Size
Unfinished/Basement 96 Sq.Ft. Rooms Height Ft. ❑ Projection I
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 SFR/Constructing 16'x 6',96 sq.ft.shed in rear yard per plan/all work will meet state and local codes
of Work ,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $55.00 Park Dedication $0.00
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Issued By: � �' , Date 10/29/2013 Final/O.P. 00/00/0000
� Permit Voided'�� Parcel Id# 1523510000
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 cure any necessary approvals before starting such activity.
I have read a nderstary���he fore entio e nformation.
Signature Iz=¢ Date �� Z'4 �
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 specifed 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.
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❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would
like this permit processed through your accoun�
Project Address: ��4 1�1 Cb L�c T ,�lE Circle one: �►ingle-E� DuPlex
Owner's Name: �1 C..L/�4 v� �f�L6� Daytime Phone#: �-y,�.- �is��
Contractor's Name:_ 1•�I�u-r f}�M i.c1El� Daytime Phone#: �rg'�� �
If the contractor is applying for the permit provide the following:
Dwelling Contractor# ��/� Contractor Qualifier# ,tl/�-
*These two credentials are required by the State of Wisconsin Safety and Buildings Division for any cantractors
conducting work on residential property_
Va1ue of the project including labor and material costs $ �Oo�o n
*The value for both materials and labor is required to ensure consistency in assessing permit fees for all applicants
even if you're doing your own work A general rule of thumb is to double the material cost or provide an estimate
from a contractor.
Full description of the work being done_
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EIectricai Work is being doae by: �/�
Any work not noted on this application will not be included on the permit! '
The following documeni�aze attached to this application: .
�2 site}�lans n 2 Sets of Framing&Wall Bracing Plans(gatage) ❑ Appl�eabie fees
Please read the following and sign and date this application prior to applying for the building permi�
I certify the above information is complete and accurate. Arry deviations from the above submitted
information may reguire additional reviews and permits to be obtained. I acknowledge and agree to these
terms.
Signature: � Date: �O - �9-0'��3
4 1/4/2013