HomeMy WebLinkAbout0156726-Building (windows) � CITY OF OSHKOSH No �ss�2s �
� �
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 39 W 14TH AVE Owner RICHARD A SITTE Create Date 07/16/2013
Designer Contractor L&S CONSTRUCTION
Inspector Nicole Krahn
Category 040-Windows Pian
Type � Building � Sign 0 Canopy � Fence � 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 0 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 'DUPLEX/INSTALL 18 VINYL REPLACEMENT WINDOWS IN EXISTING OPENINGS(SAME SIZES)-NO STRUCTURAL CHANGES
of Work "check#9584
;
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,500.00 Plan Approvai $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
issued By: (�� Date 07/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided I� Parcei Id#0304550000
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 plicati within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secur an nece pprovals before starting such activity.
I have read and un e nd the a d inform ' � • �
Signature Date j
Agen Owner
Address W6476 SUBWAY RD FOND DU LAC WI 54937 - 0000 Telephone Number 920-923-4497
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�y �f OS!I.�OS!L Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fa�c:(920)236-5084
Building Permit Application WWw•ci.oshkosh.W;.�s
aaaress � � 1 � �'� .s�,
�--
�
Applicant Owner acto Tenant Other(describe)
Owner/ Name � Q�3� Phone
Tenant
Address 3 ! � T � � � I Email
Contractor Company Name � `{'S �� c�. c�'4`c.�c`� r c� � Phone � � (�j' o'�� � �]
Contact 1— °i� J ''� � ���� �4 1� �n '��Email
Address � � � � � � `� U�-� �
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 i � � �� l —� � �.�1 \ �ti p +�1.) �
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �r �,C� C� �
$ I� t (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # ��� Cash Permit Fee Account
I certify the above information is conaplete and accurate. Any deviations from the above submitted information may requir�e additional permits
t be ob�ine�I�nowled and agr e to these term;. � � � %�
� I
Name: � C-��� \` � (Please print) Date:
Signature: