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0153775 - Building (windwos)
CITY OF OSHKOSH No 153775 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1655 WESTERN ST Owner GAIL CHRISTILAW Create Date 11/29/2012 Designer Contractor SMITH BUILDERS INC Inspector John Zarate Category 040-Windows Plan Type • Building 0 Sign 0 Canopy 0Fence O Raze Zoning R-2 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 O Other 0 Concrete Block O 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 11 WINDOWS IN LIVING AREAAND 5 WINDOWS IN BASEMENT-NO STRUCTURAL CHANGES **check#13822 of Work Ii HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $11,705.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00 Issued By f Date 11/29/2012 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# 1211370000 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 227 MORRIS CT FOND DU LAC WI 54935 - 5661 Telephone Number 920-960-9175 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.us Address 15 S- We S S-f Y -e e+ 0 1�-O s k LO Address 1 lC� Applicant Owner ontractor') Tenant Other(describe) 1 Owner/ Name G R r i � v % S +-i IC& w Phone qd-0 vZ 0 3_Q °el Tenant Address 1 6 SS VJ.,si--e_-A-,,,._ S- e-4— Email Contractor Company Name S iM l � vJ ti I 18 e,r-. t ll^C Phone $)-0 — v 7444 0 Contact C l V'k 5 S-011 ( Email _SA%l-A 6c[ //e/e rs%v1 C.cat r-k Address a.1.-1 Th o r, s Co u..--F- NA._ Cic..` LA. 1.C) ( S q q 35 State Credential #'s I 6© $')-- , .Z.co 1-71 , Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# Achitect/ Company Name Phone Designer Contact Email Address Permit Type esidential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition Alteratilo'n F n'^ Project lCt Ce I t W ∎(d 0 wS i i� Ll j l ✓LCj 7c' e_c& Description J tft4re S- ci3e4 Sf' vv...e r..4.-- (A) t i\_cl 0 Li") S Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ ®c. O 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 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 tt/2 I J S 01 / ' (1' (Please print) Date: /7 7 77 7 - Signature: at .-. �,I,.,�J