HomeMy WebLinkAbout0155998-Building (windows) � CITY OF OSHKOSH No 155998
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 312 W 10TH AVE Owner VERNON E/NANCY J LICHTENBERG Create Date 06/05/2013
Designer Contractor CREATIVE CONTRACTORS
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building 0 Sign � Canopy 0 Fence 0 Raze I
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs t
Foundation � Poured Concrete � Floating Slab � Pier 0 Other
� Concrete Block � Post � Treated Wood -
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature Duplex/Replacing 7 windows and 1 screen
of Work
i
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: �� Date 06/05/2013 Final/O.P. 00/00/0000
� Permit Voided' Parcel Id#0903400000
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 afo io d in rmation.
Signature Date � - rj'"��
Agen wner
Address P.O. BOX 8 GREEN LAKE WI 54941 - 0000 Telephone Number 920-291-6155
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
� �Zt � �S!��OS!L Oshkosh,WI 54903-1130
y ,f Phone:(920)236-5050
� F�: (920)236-5084
Building Permit Application �W��i.oshkosh.W�.us
Project [
Address 31a � , �D1q. � U�` S� KOS�
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name N��/4V �_ �,� ri� 7�/U�F�i G' Phone 9r�d-36��a i.�y
Tenant
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Address �1���� w/'} /�� �I�G'� �,D ��,Q�/IL Email V�O��° CC'/�,�'U/`�'�p/-��
Contractor Company Name C ��A�'"�1�� �Q/V10�/}GT��Q.S Phone
Contact S�Cf,e�/ �N pe c�r�T sa�►/ Email
Address ��f�, �l1� �q� G�R���v {-AK� j�/��S ,
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
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Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project
Description
1� ��h� �� U��N,o�tvs aoV ��� �G s����v ����
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ � ,�0� (Value for c�aterials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # �P
�� 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 d agree to these terms.
Name: (Please print) Date: I4-���"�-�
Signature: -_- �J�1,VC� � - �1C�`�� ��� G�