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HomeMy WebLinkAbout0153747 - Building (windows) CITY OF OSHKOSH No 153747 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1040 W 19TH AVE Owner ERIC W/ANGELA M HENSLIN Create Date 11/28/2012 Designer Contractor INSIDE OUT CONSTRUCTION Inspector Nicole Krahn Category 040-Windows Plan Type • Building O Sign 0 Canopy O 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 O Concrete Block 0 Post 0 Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication _ #Dwelling Units 0 #Structures 0 Use/Nature SFR\9 windows and a patio door of Work HVAC Contra ctor II _-- - -- - ---- -- Plumbing Contractor Electric Contractor Fees: Valuation $8,900.00 Plan Approval $0.00 Permit Fee Paid $81.00 Park Dedication $0.00 Issued By: 4 Date 11/28/2012 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1311560000 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 is •rmation. Signature �— ��' Date //--2 Agent/Owner Address 5833 KOELPIN RD OSHKOSH WI 54902 - 5879 Telephone Number 920-426-9562 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 City of Oshkosl L Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax: (920)236-5084 Building Permit Application www.cl.oshkosh.wl.us Project Address % _ l` 7/1 LA— Applicant Owner ontract Tenant Other(describe) Owner/ Name Gc--e2e--- Tenant ���'��Jf'�'`' ��5��%i Phone Address Email Contractor Company Name _s f^ z- �Z�% �l�z '� �� `f �S��zr��i� ti Phone Contact ,--r<:-./- r :--.,-v-,1. Email /� z:;?-,/?fc�.-./:f."t 4-.7�'© i Address ‹.-:rt. l State Credential#'s l8--7,`/-7_.? , 7 7 i,;- , Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address — Permit Type '.'esidential Single Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteration Project L---5 e l/ /, i -�Gt/ _O z7 i/�?� ..�'��C/r Description LL O «�f" _�-�5 // /�/elm 6-,,/..S/,7,i-L 4';1%77 77/1/ /-? ,-.,-, /_,/c �.-a2 Vii' .,-T' Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job p� $ r ��1� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # 7,--2 / 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 acknowl dge and agree to these terms. Name: ,, �- Qr,,J f� (Please print) Date: // 51--/o Signature:_---- �