HomeMy WebLinkAbout2012-Building (windows) (g) CITY OF OSHKOSH No 152230
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1750 WOODSTOCK ST _ _ Owner JON A/KIMBERLEY A ROST Create Date 09/10/2012
Designer - Contractor SEARS HOME IMPROVEMENTS
Inspector Kevin Benner
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. 0 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 2 WINDOWS(SAME SIZES&LOCATIONS), NO STRUCTURAL CHANGES **check#2433
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: O n 3 Date 09/10/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1332380000
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 13040 W LISBON RD BROOKFIELD WI 53005 - 0000 Telephone Number 630-832-4049
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.
riOZ P O Box 1130
City of Oshkosh Oshkosh, 54903-1130
MI Mr Phone:(9(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address < ) 0 r 0....' __Nil -_ C .
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name j or, J?a SI Phone ' I o - 033 -- /76
Tenant
Address 050 t,)OQd<1V Ck. c , Email
Contractor Company Name 9 _jS Ha 01 Ini ve�� � Phone �i 30'-g ��
Contact JO h ij -/-ft_.Lcq it Email
Address'0,0211-Port cik 6.&i Q/ �k--tdok , 1,0149,00M t IrL, 3:,2- o
State Credential 's qf)-s70 , /95-45-/ ,
Dwelling Contractor Qualifier it Dwelling Contractor# Buildink Contractor Registration#
Achitect/ Company Name Phone ' ' , 4 r r g'
i,
Designer
Contact Email SEP 1 0 2012
DE . ` E + 01
Address CONINi_n , . ;;r. ; n
JF,1 .�Pr rFNT
--.,, INSP%!,G,v '1,'it.. : DIVISICN
Permit Typ• Residential Single Family) Residential Duplex Commercial Multifamily Industrial
Catagory New Addition
Project f'_ 3 wind o u n c - ) a SILL Gitia_1-t 9 £
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 452 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: # Cash Permit Fee Account
I certibr 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: , d• / mrif C , (Please print) Date: 9- '7 -/ )'
Signature: , ,, %Er _ - _