HomeMy WebLinkAbout0152826 - Building (windows) CITY OF OSHKOSH No 152826
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 717 719 W GRUENW ALD AVE Owner PATRICIAA STARCH Create Date 10/08/2012
Designer Contractor SEARS HOME IMPROVEMENTS
Inspector John Zarate
Category 040-Windows Plan
Type • Building 0 Sign ❑ Canopy ❑ Fence ❑ Raze ,
Class of Const: Size
Zoning R-3 — -
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete ❑ Floating Slab ❑ Pier ❑ Other
❑ Concrete Block ❑ Post ❑ 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 (DUPLEX(719)1 REPLACE 2 WINDOWS(NO SIZE CHANGES)-NO STRUCTURAL CHANGES `*check#2707 -,
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,082.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: V-rniCJI Date 10/08/2012 Final/O.P. 00/00/0000
el
❑ Permit Voided ( Parcel Id# 1220080000
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.
PO Box 1130
-II)%AL. Cit1 of Oshkosh Oshkosh,WI 54903-1130
MOW Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.closhkoshavi.us
Project
Address 7 1 7 to, & u Y1 r)Lixt( d Ave
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name 'PO O- ,)I YaV +7 Phone gal 2149 . 4.2_8/
Tenant
Address Email
Contractor Company Name Sec cS fit)I(`1l13 `rrI V YO V"LYYLQI)'r Phone (0-30:513'x. -4 0 4 1
Contact i O h r - \ A e r Email
Address ( O LD L4 Qil'0C(. Ce 1trck 1 ?t-(.off 1 un1Ci UJccd FL_ ,1-76 o
State Credential#'s q g-x-s-"7D , / /.5"/
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit pe Residential Single Family_) Residential Duplex Commercial Multifamily Industrial
Catagory —New Addition Alteration ,,
Project
tioe Ref 10.(e 0 tU i ncl c It)S- )40 cf�e- C—h tlf
j e'4'21 '-'''' 1VED
0 L,7 0 8 2012
— ,,,_ ,nK "MENT OF
CO, „ -, 1 DEVELOPMENT
IN:,,t i LIJA SERVICES DIVISION
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ • 0 ' (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cert5 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: Jo h n .g4cT u q er (Please print) Date: /b — V'/Y
Signature: �_ ��____ ,‘;, , /,(______