HomeMy WebLinkAbout0156711-Building (windows & patio door) � CITY OF OSHKOSH No 156711
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1319 MARICOPA DR Owner DOUGLAS R/DEBRA POTRATZ Create Date 07/16/2013
Designer Contractor STEVEN GOLZ CONSTRUCTION LLC
Inspector Nicole Krahn
Category 040-Windows Plan :
Type � Building � Sign 0 Canopy � Fence � Raze
Zoning R-1 Class of Const: Size
Unfnished/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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR\Replacement windows and 1 patio door
of Work
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— _ �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $11, 00.00 Plan Approval $0.00 Permit Fee Paid $112.00 Park Dedication $0.00
Issued By: Date 07/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1312560000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read anc�:understand he afore mentioned information.
Signature I��-�x• - Date
AgenUOwner
Address 214 E HARRISON ST APPLETON WI 54915 - 1818 Telephone Number 920-851-2231
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P O Box 1130
� Cit,of Os�osh Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fa�c:(920)236-5084
Building Permit Application �•��.oshkosh.W;.�s
Pro�e�t
Address �3 I D 1�. I''+vC..
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name '�c�uc� + (.72 bhi C,. 4�- ,�}-��Z Phone 9 a.v- ;231 - 1�.1�-}
Tenant
Address 13iq v'rlo�ccoPa 'ui. Ckhkos+f Email
Contractor Company Name �v�n TaIZ �s��u -�;or�y t�c Phone -�'j�- gsl-��3 �
Contact S�JGJI �oLZ Email
Address o11� C� �a:r�snn �-_�e. �w1��`T '�(..��( - ($�
State Credential #'s 1Lo1$(� , (1.Q'�19 ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Single Fami y Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration~
Project ����,i r�a 'r�� �w; n v,�,�.�- . � �;nu�� i.J i d.� asemcn-� l..�i��c��+ ��
Description
d ►�n,-v��n l�` t�a-4: � �•
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job o0
$ ��i $� . (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 complete and accurate. Arry deviations from the above submitted information may require additional permits
to be obtained. 1 ackrrowledge and agree to these terms.
Name: GJ (Please print) Date: `1I�Le���
Signature: