HomeMy WebLinkAbout0158684-Building (roof) � CITY OF OSHKOSH No 158684
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 849 N MAIN ST Owner MICHAEUKRISTINA QUEST Create Date 10/31/2013
Designer Contractor OWNER
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building 0 Sign � Canopy � Fence � Raze
Zoning C-3 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 0 Pier � Other
0 Concrete Block 0 Post � Treated Wood — _ _
Occupancy Permit Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/reroofing house"'LATE FEE ADDED FOR WORK DONE WITHOUT A PERMIT'*• �
of Work ,
I I�
� - -- -- - -- �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation _ $17,000.00 Plan Approval _ $0.00 Permit Fee Paid $142.00 Park Dedication $0.00
Issued By: ��� Date 11/08/2013 FinaUO.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1006340000
In the performance of this work I agree o perfor II work pursuant to rules governing the described construction.
While the City of Oshkosh has no t 'y to'e ce easement restrictions of which it is not a party, if you perform the work
described in this pe�mit applic 'on ' eas ent,t ity strongly urges the permit applicant to contact the easemeM
holder(s)and to's�cur ar�y ne p bef rting such activity.
I have read a� tan t e e � ation. i� 1�
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 Box1130
Clty �f OS���S� Oshkosh,WI54903-I]30
� Phone:(920)236 5050
F�:(920)236-5084
Building Permit Application �W��;.oshkosh.W;.us
Project �I, �_ �/(/f�l.� ��
Address �� � �
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name L.V'1�C ��`�� Phone �� /o? ��� �
Tenant
Address � 7 / /� �a�f� �/ Email
Contractor Company Name Phone
Contact Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# D��elling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � O
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ D D D _(Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certi i 'on ' omplete d accurate. Any deviations from the above subn:itted information may require additional permits
to ai o g hese terms.
Name: �J�(C uC��Please print) Date: �t � �v l �
Signature: ^