HomeMy WebLinkAbout0158894-Building (sunroom addition) � CITY OF OSHKOSH No 158894 ;
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 721 W 10TH AVE Owner JEFFREY D HANSEN Create Date 10/30/2013
Designer Contractor HANSENS HOME SERVICE LLC
Inspector Nicole Krahn
Category 111 -Single Family Addition Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-2 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
� 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 Duplex/Constructing 8.5 x 16'sunroom addtion per submitted plans and approved site plan. Also constructing a 3'x 53'service walk I
of Work and 4'x 27.5'patio per plan. Foundation will be constructed in 2013 and the addition will be built in the spring of 2014. All construction �
Ishall comply with State and local building codes.
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5, .D Plan Approval $25.00 Permit Fee Paid $90.00 Park Dedication $0.00
Issued By: -�-� Date 11/25/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1303950000
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 activiry.
I have read and ders d the afore me 'o information.
Signature Date ��'2.� �3
AgenUOwner
Address 1178 OLD KNAPP RD _ _Oshkosh WI 54902 - 0000 Telephone Number 920-203-2027
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.
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P O Box 1130
� �l{-y Of OS���s� Oshkosh,WI 54903-1130
� �� Phone:(920)236-5050
Far: (920)236-5084
Building Permit Application N'�'�'•ci.oshkosh.w,.�s
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Address � ` f I.J /C7�h �Ci-e C�Sl�f/�O S � t t.� Z S'y C�T O �
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Phone
Tenant
Address Email
Contractor Company Name �C/.n f{,.�'I ��.,,p S�/'v�L�, C�C. Phone �4 Z�� 2�3-2-0 �-7
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Contact �e � �V�fC� Email ^� 2T1`,�a,•�!'c�..�,? �y4��0
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Address_��� O�-(� ��.o ��+ D S�t ,Go j'h � c..�� ���t O'�
State Credential#'s 12 �/ 31 g y , / 2�/3 /g 3 ,
Dwelling Contractor Qualifier# Dwelling Contracior#
Achitect/ Company Name /(/p ffk e L�cH., h �i-, �G Phone�� 2v� 2 3.�-3 o p'v
Designer
Contact ��c f1� �/,n�ZQ Email Y�cIS��ta'�' �k14«��e��Co
Address_�O � � p c,��n s ) D f h�L.�t�i� c.J L �� q D!
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
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Catagory New Addition Alteration
Project � . � � �C ! � � /� � 3 � /Z C�'� R..0 � �`�, on � e �� 1 77 n s
Description
/'e•ur b'F �a 4 s e - c.c n. �Pa.11.c6 . �P�' a+�..�,,o.�-� v�e c� ,�la�s-
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job v� � , p v
$ � (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # yo �g Cash Permit Fee Account
I certify the above information is complete and accw�ate. Any deviations from the above subnaitted information may requi�•e additional permits
to be obta e I ackn ledge and agree to these terms. .
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NaItle: � �� �i1,f-C� (Please print) Date: ������ 2 c��.!
Signature: