HomeMy WebLinkAbout0153339 - Building (windows) CITY OF OSHKOSH No 153339
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1109 HAZEL ST Owner KATHLEEN A ERICK Create Date 11/0.5/2012_
Designer Contractor OWNER
Inspector John Zarate
Category 040-Windows Plan
Type • Building 0 Sign O Canopy 0 Fence 0 R aze
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 O Floating Slab O Pier O 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/INSTALL(4)VINYL REPLACEMENT WINDOWS-NO STRUCUTRAL CHANGES **check#2608
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,800.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00
Issued By:t`)(i Date 11/05/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1110160000
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 applicatio, within an easem- t,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any ne•-ssary app ovals .,— tarting such activity.
I have read and understa . i fore boned d,. —- ••
Signature / �J/`0 -...■ Date /7/(----,...—
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
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.
P O Box 1130
City of Os kosh Oshkosh,WI 54903-1130
Oshkosh Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
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Address
Applicant Owner Contra Tenant Other(describe)
Owner/ Name /�� � f i G�L Phone
Tenant
Address //C Z, G. Email
Contractor Company Name(V kc.)
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Contact S�d �tQrce-r
Email
Address % 9j C.., (--k_ C-X/
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type estdential Single Famili s Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project u l C't�f / I/� ( c e Qom, c'42�:QC�C.� (��
Description
r end u e S Q e-i4 S c -E- ( N e
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ _3 0 C9C) — (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # , (c?(iO' 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. I acknowledge and agree to these terms.
Name: C'c'l`E{ SV`u / - i✓ (Please print) Date: l7T/L--
Signature: ilia _.L.&