HomeMy WebLinkAbout0159168-Building � CITY OF OSHKOSH No 159168 !
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2600 HEARTHSTONE DR Owner JON P/TRACY R BERGER Create Date 12/30/2013
Designer Contractor HIGH CALIBER CONSTRUCTION
Inspector John Zarate
Category 111 -Single Family Addition Plan
Type � Building � Sign � Canopy _ � Fence � Raze !
_
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height __ Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage _ Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab 0 Pier 0 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/removing existing 6/12 pitched roof to accomodate new roof truss system to include storage area above garage!Installing entry
of Work �door from bedroom into cold storage bonus room must be insulated/separate permits if they change cold storage to heated room,will
!require heat calc's/3/4 floor sheating,no drywall included with this permiU fireblocking will be required/verify headers of garage door andl�i
�windows to handle extra load of room above/all work will meet state amd local codes �
. � --_ _.._.__ _ _ ___..__.- _ __ _._- _� '..
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $12,750.00 Plan Approval $50.00 Permit Fee Paid $118.00 Park Dedication $0.00
Issued By: �. Date 12/30/2013 Final/O.P. 00/00/0000
� Permit Voided Parcel Id# 1219740615
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 activity.
I have read an�ersta�he afore mentioned information.
Signature .e,7/L. Date /2-,30 -20%3
AgenUOwner
Address 1808 MCCURDY ST _OSHKOSH WI 54902 - 6748 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 Box 1130
� �ll.y �f Os���s� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fa�c: (920)236-5084
Building Permit Application �W���.oshkosh.W;.us
Project
Address Z��G l�'G'��"�'l�S��2c? a�
Applicant Owner ntractor Tenant Other(describe)
Owner/ Name 7t Y� � �1'�.Cv �i��^ Phone
Tenant
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Contractor Com an Name �, (`�(�,,- (�, ^5-�-,--�tC}-; � r Phone ���t; �(�, -
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Contact �fe.���/ �,�s��� Email
Address /f3b� /YIcC�rnfti ..5�'-
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State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Single Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition teratio
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Description �
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ %�/ 7s C �L� (Value for materials&labor is req.to ensure wnsistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accw�ate. Any deviations from the above submitted information may require additional pennits
to be obtained. I acknowledge and agree to these terms.
Name: Sft-lt� ��,--�-(,�i S't,�� (Please print) Date: �d�—3��-�� /�
Signature: /� �(t�i�-'