HomeMy WebLinkAbout157127 Building (reroof) � CITY OF OSHKOSH No 157127
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2470 NEWPORT CT Owner MR/MRS GARY M SALZIEDER Create Date 08/08/2013
Designer Contractor SALZIEDER BUILDERS
Inspector Nicole Krahn
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze _�
Zoning R-1 Class of Const: Size
UnfinishedlBasement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Fioating Slab 0 Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Pertnit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/reroofing house and new gutters
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $13,000.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedicafion $0.00
Issued By: ,_J < Date 08/08/2013 Final/O.P. 00/00/0000
� Permit Voided Parcel Id# 1322190000
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 u rstand the f e rxtentioned information.
Signature Date �—�/�j
AgenUOwner
Address 470 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.
� J, /. . �
� P O Box 1130
Ctt11 �f Osl G��S� Oshkosh,WI 54903-1130
� .l Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �•��.oshkos6.W�.us
Projecr
Address 2-Y�?G' /��w�,,^� �
Applicant Owne Contractor Tenant Other(describe)
Owner/ Name (T��"
Tenant � �" 2� P��r Phone 2�'3=fi''��G'
Address �Z '1�� �.ec� �r.� G� � Email �
Contractor Company Name Sct lz, ;' r��fY�°- �t'^� fc'/�.-J- Phone 'Z33 •�{��;�
Contact .�r.��� '
�J���Z,�r�o%r Email
Address 2 y 7!J /'V�wn�,,,f'C- 1`
State Credential#'s 2??6 , 277 7 ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Emai(
Address
Permit Type esidential Single Fam' Residential Duplex Commercial Multifamily Industrial
Catagory New Addition teration �
Project /'?!-��' /�tin'�' d� �T�'?7`��^f-.
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ J?U�O alue for materials&labor is re to ensure consistenc m accessin
_.� N q• y' g permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cert�the above information is complete and accurate. Any devrations from the above svbmitted information may require additiona!permits
10 be obtained. I acknowledge and agree to lhese terms.
Name: �� s�er�.i�rA.FY`'� (Please print) Date: _ �_,�"/�
� /� �9
Signature: ,���. �,��-/,��.���
� /