HomeMy WebLinkAbout0156785-Building (windows & doors) � CITY OF OSHKOSH No 156785
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1123 N MAIN ST Owner WEST POINTE BANK Create Date 07/18/2013
Designer Contractor JE QUALITY EXTERIORS
Inspector John Zarate
Category 040-Windows Plan
Type � Building 0 Sign � Canopy � Fence � Raze I
Zoning C-3 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 � Floating Slab 0 Pier � Other
� Concrete Block � Post � 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 iSFR/REPLACE 11 WINDOWS AND 3 EXTERIOR DOORS(SAME SIZES&LOCATIONS)-NO STRUCTURAL CHANGES "check
of Work 1399 I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: ��(,� Date 07/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided!i Parcel Id# 1007590000
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 n r afor en io d' rmation.
�
Signature Date
AgenUOwner
Address 35 SENNHOLZ CT OSHKOSH WI 54902 - 0000 Telephone Number (920)376-6808
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
� �lLy �f OS���S� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application WWW���.oshkosh.W�.us
Project
Address '�_� �J�11n ��
Applicant Owner Contractor � Tenant Other(describe)
Owner/ Name�oc��O��� ���_ Phone
Tenant
Address Email
Contractor Company Name�'� ��j�(,�`�'� ���L�,Q� Phone�� ���p ! �o�(�
Contact Email
Address
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..(>�CtC�tr1� 1� ���YLCa,C�u`� GY�C.� 3 E�2���'C o�1sJ`� G�-C�C��.J
Description �
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job -�
$�O�� • L�� (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 accm�ate. Any deviations from the above submitted information may requir•e additional permits
to be obtained. I acknowledge and agree to these terms. � ' 1� 1 ��
Nanle: ``�G ,(�Q,�'�('�� (Please print) Date:
Signature: 09 �„ ,