HomeMy WebLinkAbout0154008 - Building (windows) CITY OF OSHKOSH No 154008
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 923 GRAND ST Owner LINDA L WHITTON Create Date 12/20/2012
Designer Contractor STEVE WIRTZ CONSTRUCTION
Inspector John Zarate
Category 040-Windows Plan
Type • Building 0 Sign 0 Canopy O Fence _ 0 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 O Pier 0 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/Replacement of 5 windows. Garage painting included in cost. No structural changes.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,958.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By Date 12/20/2012 Final/O.P. 00/00/0000
EI Permit Voided Parcel Id# 1002810000
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 N6334 TOWER ROAD FOND DU LAC WI 54937 - 7321 Telephone Number 920-923-6063
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.
6561 '�N 1090 :01 Z10Z '61 w!1 pania�a�
PO Box 113Q
Itt City of Oshkosh Oshkosh,Wl 54903-1130
Phone:(920)236-5050
Fax:(920)236-5024
Building Permit Application www.cl•oshkoshari.us
Project �} 61
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Address I �'1 A � CG1 L O k.c' [01 ���
Applicant Owner (ntractor. Tenant Other(describe)
Owner/ Name LIlid Gt. k[ r b{Pl Phone o 3 3 v S55
Tenant
Address ,:I d3 �f-r S -° t)6l tic)1 Emailf g°'
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Contractor Company Name 61 1T,{,-Q. 1,0111H-- C p r/1 gfvld C.t�uryn c Phan %-b -qd,3—(D CO C;
Contact &iurt Email \-5-k_(Ff lD j u-P.Lt)t rh.•Glsrlsl
Address N 1D g .1—buxJ Ou=cq-- ,t1s4_ d""-- ( -)I L5q:13-7
State Credential#'s I 6 l U y() L/3
Duelling Contractor qualifier ti Dwelling Contractor Si Building Contractor Registration 11
Achitect 1 Company Name Phone
Designer
Contact Email
Address.........._.....__...._.. _ .
Permit Type qest entiai Single Famii Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteratio
Project
• Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job S ;1 qsq
•
ev (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by; Check # Cash emit Fee Account
leer*the above iri/onuallon Is complete and accurate. Any deviations from the abate submitted bifonuarton may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: 6 kA t_ 1)3 6 _ (Please print) Date f L1 r /i'z
Signature: ( k2 /A /I ft-b
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