HomeMy WebLinkAbout0128058-Building (window)
G
OSHKOSH
ON THE WATER
Job Address 1311 HAZEL ST
CITY OF OSHKOSH No 128058
BUILDING PERMIT - APPLICATION AND RECORD
Owner CHAD M MATUSZEWSKI/JAMIE L ERTL Create Date 12/05/2007
Contractor SEARS HOME IMPROVEMENTS
Designer
Category
141 - Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Canopies
Finished/Living
Bedrooms
Stories
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFR / REPLACE 1 WINDOW, SAME SIZE AND LOCATION (NO STRUCTURAL CHANGES) "check #13234
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $1,740.00 Plan Approval
Issued By: &Yl <:s
$0.00 Permit Fee Paid
$32.00 Park Dedication
$0.00
Date 12/05/2007
Final/O.P. 00/0010000
D Permit Voided I
Parcelld # 1509160000
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
Date
Address
13040 W LISBON RD
Agent/Owner
BROOKFIELD
WI 53005 - 0000
Telephone Number
630-832-4049
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.
City of Oshkosh
lilspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
I
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OfHKOfH
DEe 05 2007
DEPARTMENT OF
o~~~~~lTYDEVELOPMENT
Roofing ~tllJl RennitlA~tCation
ON THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If YOU are a contractor varticipatinfl in the Permit fee Account System and have adeauate funds. check here
if YOU want this processed throUflh your account n .
#/J-ZEL
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CONTRACTOR _~, ~e-
JOB ADDRESS
1.3/ /
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Sri
OWNER
I am the:
DOwner
OR
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4 Contractor
Y&E CATEGORY
~ngle Family D Duplex
D Multi-Family
D Rental
D Commercial
D Industrial
Work being done:
ROOFING
D Tear off and replace existing roofing on D house, D garage
D Replace wood decking
D Add 1 layer of roofing to the existing
This work is being done due to D Hail Damage D Other
layer(s) on D house, D garage ..
SIDING
D Install siding on 0 house, D garage
D Replacing vinyl with vinyl
. D Replacing steel or aluminum with vinyl (circle steel or aluminum)
D Replacing with
This work is being done due to D Hail Damage D Other
When siding is done, one of the boxes below must be checked:
I) D Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND 0 Electric Installation Verification rorm is attached
OR
o Separate Elect Permit will be requested.
2) D Electric - Not Applicable because: = J Blocks previously installed. 0 No outside lights. 0 Other
D Install new or D Replace gutters
D Install new or D Replace downspouts
Other related work being done: (please note) fEplL..IH'~./ tu.l/l/z>~JAJ -- Nt' ..;:/~ C#/?;1/~
Value of the job $ 1/~f!E
(include fair market price for labor even if you are not paying for labor)
03/02