HomeMy WebLinkAbout0153979 - Building (windows) CITY OF OSHKOSH No 153979
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1226 W 6TH AVE Owner JEAN M BADTKE Create Date 12/18/2012
Designer Contractor SEARS HOME IMPROVEMENTS
Inspector Nicole Krahn
Category 040-Windows Plan
Type • Building O Sign O Canopy 0 Fence O 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 O Other
O 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/REPLACE(3)WINDOWS, NO SIZE CHANGE-NO STRUCTURAL CHANGES **check#3287
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,443.00 Plan Approval $0.00 Permit Fee Paid $39.00 Park Dedication $0.00
Issued By: '!t .� Date 12/18/2012 Final/O.P. 00/00/0000
y: ��La
❑ Permit Voided Parcel Id#0609740000
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
i_..914A City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.as
Project •
Address 1 gN P f W j. e N e c
Applicant Owner Owner c:-.-gaiat, Tenant Other(describe) ((tt
Owner/ Name Je_CL�1 ►A- -2-e, Phone"l`a0- -gag(-1
Tenant
Address I O C1\`-‘ Email
Contractor Company Name apc-,S 'Ct vvw VMQ,r'DU2.rvw AA- Phone(0 %. .
P Y ' r ®/ tls.D
Contact Email
DEC 1 8 2012
Address-V-0• Ciy. :- Cjz],l nrnwcod t re_ 32—] SC)
UtPAk-IMENT OF
State Credential#'s 94 5-'70 , /c57 61 COMMUNITY DEVELS rO PMENT
Dwelling Contractor Qualifier# Dwelling Contractor# Mp or ga u o :ON
N
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type ( Residential Single Fatiiily Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project
Description I
Re p\OSS____ --)) 0,D I Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ (99 93r-O (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 acknowl d e and agree to these terms.
Name: �CV/A /SW I - .__ (Please print) Date: /.X/ V —,1-1----Y\Signature: C< <