HomeMy WebLinkAbout157126 Building (replace windows) � CITY OF OSHKOSH No 157126
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1571 WESTHAVEN CIR Owner DAVID F/DIANE STECKBAUER Create Date 08/08/2013
Designer Contractor SALZIEDER BUILDERS
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-1 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 � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature �R/replacing windows and gutters same size and location
of Work
� --
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,100.00 Plan Approval $0.0o Pertnit Fee Paid $58.00 Park Dedication $0.00
Issued By: � �`+—. Date 08/08/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1321940000
In the performance of this work I agree to perform all work pursuant to rules go�erning 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 un rstand the af re entio d information.
� jSignature y�,,, �/� !.� Date �—��
T Agent/Owner
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 speciFed 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
C'Zty �f OS/L��S!L Oshkosh,WI 54903-1130
� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application WWw.��.oshkosh.w;.�S
rro,ject �
Address ��7� ���'ry"�/4 y„-�-� �,�` �
Applicant Owner ractor, Tenant Other(describe)
Owner/ Name +�it�✓,�GT � I'�� fT'fj u�r�•^ Phone "�3 /'1/ Y�
Tenant
Address r�7/ (,,�",c�jf'fi�'��„ c-i%-.��� Email
Contractor
Company Name �u�z���-t'r ���%� �r`s- Phone '���°�{��(1
Contact (s'Gf�� ��e/Z r�c��� Email
Address 2.�f �lf %1�eur,,x,�,�"1� i- r
State Credential #'s 2�77 (� , 2 7 7'7 ,
Dwelling Conh•actor 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 teration
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Pro ect -� �. � �j �,�,/'a�r� ����s /YI f� r.v,��E ,s r9- c�C��{c�/'S
Description ��--��
Mechanical Separate permits will be obtained far the following:
Permits Electrical by Plumbing by Heating by
Value of Job �)
$ ��,��V (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 certify the above infornaation is complete and accu��ate. Any deviations frorn the above submitted information may require additional per•mits
to be obtained. I acknowledge and agree to these terms.
Name: � �
�Q/'� �C/ Z,� ���`� (Please print) Date:����
Signature: