HomeMy WebLinkAbout0156465-Building (windows) � CITY OF OSHKOSH No 156465 �
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 460 GRACELAND DR Owner RANDY/KATHLEEN SEIBERLICH Create Date 06/28/2013
Designer Contractor ALAN LEE CONSTRUCTION
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy _ � Fence � Raze I
2oning 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 � Pier � Other
0 Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR/direct replacement of 17 windows/all work will meet state and local codes
of Work ,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $8,415.00 Plan Approval $0.00 Permit Fee Paid $93.00 Park Dedication $0.00
Issued By: --��"�. Date O6/28/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel id#0618390000
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 und nd the afore ntioned� formation.
Signature Date �p ���3
AgenUOwner
Address 861 FLORIDA AVE OSHKOSH WI 54902 - 0000 Telephone Number 233-3581
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
� l�'lt�,/ �f OS���s� Oshkosh,WI 54903-1130 F
.J .J Phone: (920)236-5050 '
� Fax:(920)236-5084
Building Permit Application �W���.oshkosh.W;.�s
Project .�/`
Address 7U6 �/'/s1C°p�,�� �� �
Applicant Owner tract Tenant Other(describe)
Owner/ n �
Name �'f�2.�14 � ��Q�{2[/ ��,�N�� Phone��(,c, —�b" 7�
Tenant
Address ����j �,-��/SL��,r.� Email
Contractor Com an Name f9�2J o(.�� �
P Y ��,u Phone���3�-3�� �
Contact �L�� Email
Address_ ��/ ��l/�j� �U p
State Credential#'s �,��j J 1 , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type ide ' ' le Fami Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project l.r�i v/'s���j°��!�IS�/��',.-r �
Description �
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ �(�J�''�3 � (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # /a'/ 7 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 obt ' ed. I acknowledge and agree to these terms.
Name: � yv (Please print) Date: �n —�(��"/3
Signature: /