HomeMy WebLinkAbout0145490-Building (windows) CITY OF OSHKOSH No 145490
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1925 CLIFFVIEW CT Owner JAMES R DYER Create Date 04/18/2011
Designer Contractor DAN V BINDER CONSTRUCTION
Category * 141 - Exterior Remodeling Plan
Type • Building O Sign ❑ Canopy O 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
❑ Concrete Block 0 Post ❑ Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature SFR / Install 12 replacement windows in existing openings. **debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Issued By: (jt//'3 Date 04/18/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1525870000
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.
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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nay of Oshkosh
! p coon Services Division
P O Box ii30
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084
Building Permit Application O '�� ���
if you want This processed t!►rourh veur acco4 .. =1 • • • • ¢aauatG funds. check hfr�
4011 ADDRESS 19-' C // i// w
OWNER . �/a„•, e ,�
CQNTRACT`OR •3 ` er i ., rte-./ . i AVC-
•i ' • I am the: D Owner OR , $1 Contractor
USE CATEGORY
Single Family CDDuplex °Multi- Farnil OR.ental ' OCammercial °Industrial
Work being done:
0 Addition
0 Deck/Porch/Patio O Driveway/Parking
External Remodeling O Fence/Hedge/Kennel
0 Garage/Utility Structure
o Handicap Ra mp ❑ Hot Tub/Spa ❑ Internal Remodeling
O SigniCanopy /Awning ❑ Stair/Handrail
Q 3tovdFi:tpLce
0 Swimming Pool 0 Wrecking Penult
C1 Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located is the hallway, may be referenced to note if any additional information b necessary.
+ Full description of work being done_ /ee /env e Q ✓ � � eir s 14€
41r" cif w x
ud n • o
Valve of the Job • • - .
.) (Value for mua iaa a d ratan is required to amens consistency in *ccelsi,y yer*►N u
pplicanti
tec� Por
ttLEAULALAD, SI Tl�
1 certify the above information is complete and accurate, An
information ,nay require additional permits la be obtained 1 acknowled g an a an de above t erm
* '
� d agree to these ese terms.
Na Ji .- ne _ � _ .' r, �✓t�^
(Please print)
Signature:
Received Time Apr. 18. 2011 7:31AM No, 5269 Date: / /