HomeMy WebLinkAbout0144129-Building (window) CITY OF OSHKOSH No 144129
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2308 COMET ST Owner DAVID F KUMBIER Create Date 11/17/2010
Designer Contractor TILTIN WINDOW COMPANY LLC
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 a window replacement unit in the front of the house. Existing opening. No header change. * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,477.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: j2 /rn./!/ Date 11/17/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1517850000
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 1300 S VAN DYKE RD APPLETON WI 54914 - 0000 Telephone Number 920 - 749 -4950
* 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.
LLL� °NWdLS l OIOZ 'LL'AON awil panic °ad
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084
Building Perm' Application ON F w "T R
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JOB ADDRESS ' 3 0 8 Goy.,
OWNER /1 ' _ ' kV Pr -
CONTRACTOR 77/ r'� L.,/ s^ c/a i.✓
I am the; [a Owner OR ekontractor
USA CATEGORY
i■Mngle Family ❑Duplex OMulti- Family ❑Rental °Commercial Dlndustrial
Work being done:
0 Addition 0 Deck/Porch/Patio ❑ Driveway/Parking
0 External Remodeling ❑ Fence/Hedge/Kennel 0 Garage/Utility Structure
0 Handicap Ramp ❑ Hot Tub /Spa 0 Internal Remodeling
0 Sign /Canopy /Awning ❑ Stair /Handrail 0 Stove/Fireplace
0 Swimming Pool 0 Wrecking Permit
0Other 1 1QE s vial % i r-
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: • e e_ c•- g /cc c e r ^ T "
In/ t Tr` a 7 0 AR r
Auv work not included in this apnlication is not permitted.
Value of the job $ (Value for materials and labor is required to ensure consistency in accessing permit fees for nil
applicants.)
PLEASE READ. SIGN, & DATE:
1 certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: �°' _ 7 / ,✓
(Please print)
Signature:
Date: 1 / -/ /O
3
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