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Home My WebLink About0121731-Building (siding) . .0 OSHKOSH ON THE WATER Job Address 1220 HURON CT CITY OF OSHKOSH No 121731 BUILDING PERMIT - APPLICATION AND RECORD Owner WILLIAM J SALVINSKI/JODY K RILEY Create Date 09/25/2006 Designer Contractor OWNER Category 141 - Exterior Remodeling Plan Type . Building o Sign o Canopy o Fence o Raze Zoning Class of Const: Size Height Ft. D Projection I Sq.Ft. Sq.Ft. Sq.Ft. Rooms Unfinished/Basement Canopies Finished/Living Bedrooms Stories Signs Garage Baths Foundation . Poured Concrete 0 Floating Slab o Concrete Block 0 Post o Pier 0 Other o Treated Wood Occupancy Permit Flood Plain Height Permit Park Dedication # Dwelling Units o # Structures o Use/Nature SFRI LATE PERMITI Replacing siding. No structural work. JK Construction is doing the work. of Work Plumbing Contractor HV AC Contractor Electric Contractor $11,000.00 Plan Approval $0.00 Permit Fee Paid $94.00 Park Dedication $0.00 Fees: Valuation Issued By: ~ Date 09/26/2006 FinaIlO.P. 00100/0000 D Permit Voided I Parcelld # 1525640000 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. Signature X~",d.-. d/..cL~ ~ P' Agent/Owner Address 1220 HURON CT OSHKOSH Date ~ /~s-Io(p 'I ' WI 54901 - 3167 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we g~in 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. PROPOSAL .:::JZ 4~7 r-z.- 7;?6--~e2-079G/ P,b.-tf-~ ~i::- C!-o~'f~'~ ?..;;?y:z c...rp ~ l::> M;-WJe~,_ h/~. So/1j7(P PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NA~~ . C'" / ~'iU;e~- ~~~,~~,' AD/l1~o #~ t!!:>-d- es.k.. W', . <:::-41>7'0/ PHONE NO. , ''2J';;c:; - ~ '3 (- 6 tfcs- . ADDRESS<< ,,'":'!. ".t:C ". DATE OF PLANS ARCHITEC.i/k / ...\.... ";i>i>'~'iofLJMi~h' <and )i<',ab( '~, ./. '.., ........., .... ....).i... ...........'. ...... ". I, II",Jo;;UY, , .,'.i,,"'!,;""', < 'VI ,.,J.R1 """"i'.: --r~,f1t.-~..f;? e.x1,:>li~;;;.L,~,. r/,...."It"'i ......".,..."..;,!. '...1"" I ~ .a c-61l.l 7-zu/...1t. <.~. '" :,,:,;":"'f:ilJil6>...,i;,. ..."''-l=../.:.) ';\/ ....................~;';e-- ~~. .,t-< ,;t." ,.... .'.a.~'f. ~J..e..."'-"...J........../l. ...,.1.."'"':"'::? ....i.' .ili ........ ..r J> "'.'5__<.....1' <" "",,-z...J'K.,/ .'. (.>..../1",7.' ~~..a=:. ;,...J#. ....;I..;',.,/i,>>>\'.'.>1 .,,./",< __--r-::. ..;~&" ~ j"#z:...._"!!/,j~ '" ~. .....,:.;.. '.....\;.~ ..:::......~M,.~-c... .e'i)-f1--- .> ~~/~ /~r '~t2-;. dt:/4''M-rl i lIMA~'i _2.J~~';'d V") v.:-kL ~'1 .... - ::r;;"".L.f:._LI A~g.. -. //".1. A~.# 12.!f?,;...S riLi../: .-'). ..~ ~....:.... /_ ' .' ...."c:-_ e#f1f:~.... ~ ~~ ". ..... '. .' - ~.-r:-I----" A/~ ,cA~e1.. DD~ .;~ __/~;,___ ~ ,; ~ 1-:\ - < f,'1J.~A1e ..!"Il:oO~~. f.....>>;-\L. e.. i\.. ....- ~--C'.,.A!,.... ~ ~.;.~ .8 ~ ... ~ :.+' ~elO~ ., ..L 1'''''"", "" - 0 c.....u "'.... ~ - A-U -r-;~~-L,_ ~ to ..-L.- ha L!J J... t:'5Qc.""'- -:;...c.; +-A:> k v -1 /' . +-- "} -~4t>:.t.. JIOl.;+ A_L' ""Q"",c::.:1../a ~rt.. /.J, c:'."""-' :.. "" _ ' -- #~ 6~..'\,...;:;:--- J~..i'. '~.o <.0-".. <A~J.. J_ L.-~ ;'#2t,/" ""'- - "J.._ ..rl~'" L/ ~'..r / . ....~ ci...._ '- +0' 1::2. . , e..,~;e ....L t>e~ r) All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for ~work, and completed in a substantial workmanlike manner for the. sum of E/~ v.e.-.. ~:.s;~~ ~ ~ ~ "Dollars ($ /!,;.aDO.-.,.. ) . / wIth payments to be made as follows: I ~l _J (l ~/ . ..L ,. /J _ ' -' T'l; 000 --k> ~~~ 5'~l")I.si:j 7 t!>~.A. /?7e4c::..e.;#:..X$. - 4.l~ hv-... '"'f~n. tl:-6-yok:iiw ~ . / ~ Respectfully submitted. ~ ,c--t! My '''""eo " d,."',o Imm "'w, ."",'i","'M "''''"'' """ """ ~ Co ~ ~ will be executed only upon written order, and will become an extra charge P' ' ~ ~r, over and above the estimate, All agreements contingent upon strikes, ac- <" cidents, or delays beyond our control. Note - This proposal may be withdrawn by us if not accepted within~ D days. ." .'. . :A6C:EPTAN9~.OfPROP9SACi. . The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date Signature 8Jh 08118 adams MADE IN USA PROPOSAL A CORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDNYYY) 08/21/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RICHARDS INSURANCE OF OSHKOSH LLP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1010 W 20TH AVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 2424 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSHKOSH, WI. 54903 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ACUITY JOHN W KOERWITZ INSURER B: DBA J K CONSTRUCTION INSURER c: 9242 COUNTY ROAD D INSURER 0: WINNECONNE, WI. 54986 ,INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOO'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MM/DDIYY) LIMITS A J!!'NERAL LIABILITY EACH OCCURRENCE $ 1,000,000 OMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100.000 - PREMISES (Ea occurence} f- CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 5,000 X Bis-Pak Business Liabmty and Medical CBL44062 07/19/2006 07/19/2007 PERSONAL & ADV INJURY $ 1,000,000 FXnAnses GENERAL AGGREGATE $ 2.000,000 PRODUCTS. COMP/OP AGG $ 2,000,000 n'L AGGREGATE LIMIT APPLIES PER: , nPRQ. n POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) r- - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Ea person) '-- - HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Ea accident) - PROPERTY DAMAGE $ (Ea accident) ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ my AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ ~CESSJUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ ==i DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I WCSTATU- I I ~~H. EMPLOYERS' LIABILITY TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTNE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L, DISEASE. POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCA TIONSNEHICLESIEXCLUSJONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER WILLIAM SALVIN SKI 1220 HURON CT OSHKOSH, WI. 54901 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESEN IV S. ACORD 25 (2001/08) /