HomeMy WebLinkAbout0143218-Building (4 windows) CITY OF OSHKOSH No 143218
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1934 CLIFFVIEW CT Owner DAVID C /ANN K PATEK Create Date 09/20/2010
Designer Contractor DAN V BINDER CONSTRUCTION
Category * 141 - Exterior Remodeling Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR / Install 4 replacement windows in existing openings. * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: x-11.4 n Date 09/20/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1525970000
In the performance of this work 1 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 and understand the afore mentioned information.
Signature Date
Agent/Owner
Address 1224 W SOUTH PARK AVE OSHKOSH WI 54902 - 6642 Telephone Number (920) 231 -2114
* 141 - Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR
Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see
the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf
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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.qty 0s 041i:osta
,inspection Services Division
P O Box )
Osh WIkosh, WI 54903-1130 _
Phone_ (920) 236 -5050
Fax: (920) 236 -5084
Building Permit Application N T 'E U
r - • - . _ , . n a . • • re ' - • i u ._ • • . 1 + rgm and have a u un heck a
if von want this eracessed thrpueh your accounr !'
.TOB ADDRESS / 9 // � e tJ C
<1�WNER j__ A 7'C-L. - —
CONTL4CTOR r ,i4../N4 r 1
1 am the ❑ Owner OR 0 Contractor
USE CATEGORY -
D Family []Duplex DMulti- Family,. DRental - DCommerciai DZntustrial
Work being done:
❑ Addition 0 Deck/Porch:Patio 0 Driveway/Parking
0 External Remodeling 0 Fence/Hedge/Kennel 0 Garage/Utility Structure
• 0 Handicap Ramp 0 Hot Tub/Spa 0 Internal Remodeling • ❑ SigniCwopy /Awning 0 Stair/Handrail 0 Stove/Fireplace
0 Swinuning Pool 0 Wrecking Permit
XOther
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary,
•s Full description of work being done:
i po i in i -6,
/J� A V rl c 0
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wo no 'nciuded i this ation is no In!
Value of the job $ i Sup, °0
3 pl +cants) — (Value for rnaseriay sari labor is required to mime consistency in accessing permit foes for an,
PLE _RE S IGN, & DATE: '
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1cert6 the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained 7 aclatowledge and agree to these terms. '
Name: , /Rig -c_ 4. 4,." cl_e_....-
Mean prim)
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Signature: . d
Received Time Sep, 20. 2010 11:54AM N o. 2880 Dale: • z 0
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