HomeMy WebLinkAbout0143415-Building (windows) CITY OF OSHKOSH No 143415
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 121 GRACELAND DR Owner DIANNE L WOLF Create Date 10/04/2010
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 2 replacement windows in existing openings. **debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: a Date 10/04/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided I Parcel Id # 0617710000
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.
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.
q � . •
y of Oshkosh
Cospu-roon Services Di ision
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P O Box 1130
Oshkosh, WI 54903-11130 .
none: (970) 236.5030!
Fax: (920) 236.S054 I r
Building ermit �T� �ry � �
g Application
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rClit EACTOR i A- F • Ad/ "/ / Com i //v 4 .
• .. 43 • I am the: ❑ Owner OR #Contractor
A SE CATEGORY
Single Family ElDuplex ❑Multi- Farnil}c, ❑Rental ' ❑Commercial Dlndustriat
Work being done:
• ❑ Addition ❑ Deck/Porch/Patio 0 Driveway/Parking
External Ret deling 0 Fonce/Hedge/Kienn l 0
Garage/Utility Structure
' • p p Itainp 0 Hot Tub/Spa ❑ Internal Remodeling .
; Sigz<iCaoopy»Awni g ❑ Stair/Handrail 0 Stove/Fireplace
❑ Swimming P+oi 0 Wrecking Permit
0. Other
Additional iaforniation, such as plan submittal and approval, may be required before issuance. Filers,
located in this hallway, muty be referenced to note it any additional information is necessary.
a Full description t work being done: remove- EN. �-. r w wi ah� + �
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Vie of the job S (1)00. — (value for =wish am labor is s to 11 1141(0 quired 11 1141(0 Sa,,;ua,
�' in !g vannit lba tar all.
I certifr the a ve information 13 complete and accurate. Any
information require additional permits to be' obtained 1 ac wled and to these se terms. , .
Name:
•
Ouse print) i
Signature: = --- ' .� .,
Date: .... /6/44______ .
• Received Time Oct. 4. 2010 7:59AM No. 3074 •