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Home My WebLink About0155417-Building (windows) t 5 � CITY OF OSHKOSH No 155417 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 663 W 5TH AVE Owner LAURIE J PALECEK Create Date 05/03/2013 Designer Contractor OWNER Inspector Nicole Krahn Category 040-Windows Plan Type � Building � Sign � Canopy � Fence 0 Raze I 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 � Floating Slab � Pier � Other � Concrete Block � 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 4 LARGE SLIDER WINDOWS WITH 6 NEW DOUBLE HUNG WINDOWS AND 1 SLIDER(NO OPENING OR , of Work HEADER CHANGE)-NO STRUCTURAL CHANGES(work being done by Advanced Home Technologies Inc) '*check#3270 HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation 8,000.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00 Issued By: c�l Date 05/03/2013 Final/O.P. 00/00/0000 � ❑ Permit Voided I� Parcel Id#0602360000 Cautionarv Statement to Owners Obtaininp Buildinq Permits 101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a building permit with a statement advising the owner that: If the owner hires a contractor to perForm work under the building permit and the contractor is not bonded or insured as required under s. 101.654(2)(a),the following consequences might occur: (a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. (b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a),because of any bodily injury to or death of others or damage to the property of others that arise out of the work perFormed under the building permit or because of any bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. 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 secure any ne ary approvals before starting such activity. I have re d.a understand th fo entione information. Signatur � Date AgenbOwner Address 663 W 5TH AVE OSHKOSH WI 54902 - 5832 Telephone Number 233-1595 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 � �'lt 0 �S!LK.�s!L Oshkosh,WI 54903-1130 y ,f Phone:(920)236-5050 � F�:(920)236-5084 Building Permit Application �W��.oshkosh.W;.�s Project I_ L J �1 = Address �l ''�-I\6 S[� V � � . � ��a a Ap li t Owner Contractor Tenant Other(describe) Owner/ Name �,G.L�'l `e. ' L,l, �C Phone o�d— ��"I �.Q�� Tenant Address � U�� j� • v� � �/'e Email � � . � F Contractor Company Name' Vp�� a rl�e_ 6� n a�,�j�,�_�1"C, Phone ��? �� — Q `� Contact�� ►�n `to�..0 �c��" j-4 I Email Address � � . �n� I `L � `�"I State Credential#'s , , Dwelling Contractor Qualifier# Dwelling Conh•actor# Building Contractor Registration# � Achitect/ Company Name Phone Designer Contact Email Address Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial � Cata New Addition Alteration roject 1 � Description 1 � l � C� �, �- c�,��1�e l� ,..� ; - � ; Mechanical Separate permits will be obtained for the following: Permits lectrical by Plumbing by Heating by Value of Job �{ �(�� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check # 3 0'�� Cash Permit Fee Account I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits t be obtained. I ackn dg and agre to these terms. , Name: l � (Please print) Date: � � Signatur :