HomeMy WebLinkAbout0151582 - Building (windows) CITY OF OSHKOSH No 151582
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1226 EVANS ST Owner MARGARET M HOSTETLER Create Date 08/08/2012
Designer Contractor OSHKOSH HOME IMPROVEMENT LLC
Inspector John Zarate
Category 040-Windows Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/REPLACE 5 SASH WITH VINYL WINDOWS(SAMES SIZES AND LOCATIONS), NO STRUCTURAL CHANGES **check#2597
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,412.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: Date 08/08/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1510060000
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 app' tion within an easem t,t e City strongly urges the permit applicant to contact the easement
holder(s)and to secure a necessary provals. 'fo starting such activity. �
I have read and unders nd the of ention inf% mation.
Signature Date Z
Agent/Owner
/
Address 2967 SHADOW LN OSHKOSH WI 54901 - 0000 Telephone Number 426-0445
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.
G P O Box 1130
City of Os kosh Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address
Applicant Owner (Contractor) Tenant Other(describe)
Owner/ Name
` / Phone
Tenant
Address /) 26' �-t)�jpc/ �O - Email
Contractor �
Company Name Uc !tG OL.4 elf.u - (4'L Phone Y L-ti°G/Y t71-- -
Contact v e(I i/ Email
Address Ce c-> ()CLI L"1
State Credential #'s
,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Type Single Family - Residential Duplex Commercial Multifamily Industrial
Permit T e �^Restdent�al Sin
Catagory New Addition Alteration
Project
Description r /�' C-7-0(-1 U_A.4.<- 6-1-t10 .6,,e.e.„47
-Ref ,C--C--(-:.;e
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job I-7/ __.
$ I /z. (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. /acknowledge and agree to these terms.
Name: f C c'�ly`S1/G6,- . _ (Please print) Date:
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