HomeMy WebLinkAbout0156175-Building (windows) � CITY OF OSHKOSH No 156175
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 911 S SAWYER ST Owner LARRY D LAMBRECHT Create Date 06/13/2013
Designer Contractor SCHOOL HOME IMPROVEMENTS
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign 0 Canopy � Fence � Raze �
Zoning R-1 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
Foundation � Poured Concrete 0 Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Piain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/INSTALL 4 REPLACEMENT WINDOWS IN EXISTING LOCATIONS-NO STRUCTURAL CHANGES '*check#1104 i
of Work I�
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i
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,130.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: �)'Y)(/� Date 06/13/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1307630100
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 afor n' ned information. /
Signature �e, Date �/��3
AgenUOwner
Address 427 FAWN DR BRILLION WI 54110 - 1406 Telephone Number (920)756-3926
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!���s!L Oshkosh,WI 54903-1130
y ,f Phone:(920)236-5050
� Fax:(920)236-5084
Building Permit Application WWW���.oshkosh.W;.us
Project :
Address 9�� �- ��Gt/1���- �r
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �o c..�E�.� L.4.�o/{Ec�s� Phone �f a( — �3��
Tenant
Address ��l � • S.4-w��x- s� Email
Contractor Company Name ���'�� ��� ���� Phone /�.ZD � �fSD -�009�-
Contact �0�'"1 �`c�OV�- Email�v�j�1�1 Sc�Iod�tA � .�u, /- �a M
Address `�1'� �-w�✓ -�/Z. L�/L G/Di✓ c✓/ s�/i�o
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State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � �E � /p��'L y c�.yr e�v� G.�i �v�� :
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job dD
$ 3 1�U (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 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: ---f�d�'^r -s�yooc (Please print) Date: �-/3'l3
Signature: