HomeMy WebLinkAbout2013-Building � CITY OF OSHKOSH No 158891
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 822 W 4TH AVE Owner JAMES H EWING Create Date 09/11/2013
Designer Contractor VEARD HOME IMPROVEMENTS
Inspector John Zarate
Category 042-Residential Siding Plan
Type � Building � Sign � Canopy � Fence � Raze I
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 � Post � Treated Wood -- --
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature �SFR/LATE PERMIT/Work required to finish the project. The siding,soffit and fascia are required to be completed for the entire house
of Work by January 1,2014 to avoid citations and court action. This is the final extension as iYs a 2 month extension over what was originally I
agreed upon.
I, I
I
i
,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $137.00 Park Dedication $0.00
Issued By: ��\ Date 11/25/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0603160000
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 s cu any necessary approvals before starting such activity.
I have read and nder tand the afore me ' information.
Signature ,e/ Date ��
Agent/Owner
Address 1828 O EGON ST OSHKOSH WI 54902 - 6965 Telephone Number (920)410-4853
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
� �'lt1/ �f OS+��OS+� Oshkosh,WI 54903-1 Li0
� l Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ����.oshkosh.wi.�s
Project ��/ /�
Address �� � (ti� ! � �'�"
. Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �cZ,tit�f E�„r,�,� Phone � ZO -.3/Z - �(Z�Z
Tenant
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Address � Z Z /„1 `� " �k Email u%✓� (a '� _r�
Contractor Company Name �P_c�-�-e( /•-t��� .1�^�rc�.+-�-�-��-1�" Phone R 2 U �` `-/I a-�-(p �
Contact �G h ti lJ����� Email � Ue�� �Q.t�a.��� t.�;.,.,
Address
State Credential #'s �l�(/f 7� , ��G �7� ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residenti 1 Single Family esidential Duplex Commercial Multifamily Industrial `
Catagory New Addition Alteration
Project �/��rc rw�ivv, r �rrl'c �� � �`Cfc;
Description —�
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �`
$ ���� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certifv tlze above infornaation is conaplete and accurate. Any deviations from Zhe above submitted information may require additional perraits
to be obtained. I acknowledge and agree to these terms.
Name: � rL,T' (Please print) Date: /�/ ZS" /
Signature: