HomeMy WebLinkAbout2012-Building (roof) CITY OF OSHKOSH No 153735
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2520 WITZEL AVE Create Date 11/27/2012
Project Windows _ - Project Number 0
Owner HAVENWOOD LAKE LLC Plan
Contractor VANDE BERG CONSTRUCTION LLC
Inspector Nicole Krahn
Designer
Category 041 _Residential Roofing Type of Plan
Zoning R-5 Square Footage
Major Occ Const Class
Fire Protection 0 Sprinkled 0 Unsprinkled I Sprinkler Design -
Occupancy Permit - Flood Plain Height Permit
Park Dedication — #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
COMM\Window replacements-12
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: ' Date 11/27/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0622000000
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 necess ry approvals before starting such activity.
I have read and e re mentioned rmation.
Signature Date
ent/Owner
Address N8529 TOWN HALL RD ELDORADO WI 54932 - 9626 Telephone Number (920)872-5100
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 Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.ns
Project
Address
Applicant Owner Contractor Tenant Other Other(describe)
Owner/ Name //i /�7'_ 'O7J4\ �f-f- AD `c)/ frhone
Tenant ,p
Address c�:/ ��� al/ t 12
-� � 0 �° mail
Contractor Name e 612r- S Phone ' � — O �
Contact 7(7)-7/1 Zvi (/G,vt-,-- 5-7 Email
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Address /(45'5--- ...? /01.-n vtr/ F764---O-y-,..x-c3-0 S�
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project g /.,¢r E, 2
Description /
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job Ov .0p
$ � — (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to beol,....___y_jcx.ded. 1 acknowledge and a ee to these terms.
Name: /7 Ai lienx t-e (Please print) Date:
Signature: - C _4.4/