HomeMy WebLinkAbout157125 Building (replace windows) /�'� CITY OF OSHKOSH No 157125
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2580 GASLIGHT CT Owner TRACY A BANTLEON Create Date OS/08/2013
Designer Contractor SALZIEDER BUILDERS
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-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
Fou�dation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Piain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
UselNature SFR/replacing windows same size and location/replacing patio door same size and location/resding two sides due to hail damage
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $18,400.00 Plan Approval $0.00 Permit Fee Paid $154.00 Park Dedication $0.00
Issued By: ��� Date 08/08/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id# 1320518500
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 unde tand the or rr�enti ned information.
Signature Date g^�/��_
�
AgenUOwner
Address 2470 NEWPORT COURT OSHKOSH WI 54904 - 7317 Telephone Number 233-4850
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.
i �i �
� P O Box 1130
Cl�y Of OS���S� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ����.oshkosh.wi.us
Project
Address ����� ` i� ° ��
Applicant Owner Contract Tenant Other(describe)
Owner/ Name TI"raC. y ��C�i �/eU,� Phone y2_�'-� y/�7
Tenant
Address �-��`�1 G 45����' G'� Email
Contractor Company Name S�l Z���.�r �u,' �c-��'�^ � Phone Z�3 "^ `7�gS�9
Contact �a<`"r/ S�I������� Email
Address 2-�f 1� )�-�'L�r,Y7f�r`f- �f"
State Credential #'s Z 7?� , 'Z�7 7 7 ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Single Family, Residential Duplex Commercial Multifamily Industrial
Catagory New Addition lteration_?
Project � r
�_ 7- tt1. .' +� - /`_ .
Description
��'�2., ' � z;�- �-Z-t�r� ..�i�.�� /,�'1�� d- dv� /�L�
��'�� _ � a� e 4�z � � ������
Mechanical Separate permits will be obtained for the following:
Permits F,lectrical by Plumbing by Heating by
Value of Job �
$ ��, �� (Value for materials&]abor 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 deviaiions from the above submitted information may require additional permirs
to be obtained I acknowledge and agree lo these terms.
Nanle: �' i-- � � ,` (Please print) D3te: !� '� 'J3
i
Signature: