HomeMy WebLinkAbout0157176-Building (windows) � CITY OF OSHKOSH No 157176
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1725 W MURDOCK AVE Owner MR/MRS GERALD R STEINIKE Create Date OS/12/2013
Designer Contractor OWNER
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign 0 Canopy � Fence � Raze � :
Zoning R-1C 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 � 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 SFR/replacing existing windows same size and place
of Work
I I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: �, Date 08/12/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id# 1200510500
In the performance of this work I agree to pertorm 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 t secure any necessary approvals before starting such activity.
I have read n understand the afore me ' ned informatio . (� ^
Signatur — � Datev� �
AgenUOwner
Address lV p(-JI,C-�, �1,����Oshkosh WI 54901 - 0000 Telephone Number �p��ol!l � �
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
� l�'lty �f OS���Sl� Oshkosh,WI 54903-1130
J Phone: (920)236-5050
� Fax:(920)236-5084
Building Permit Application W�•ci.oshkosh.W;.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name d��,Q` t �l Phone �`� - �j�—�(�g�
Tenant �
Address � , �t(JC_� Email ��P l/L�1)n r�� d`cT '�l'y1
Contractor Company Name Phone
Contact Email
Address
State Credential #'s , , ��
Dwelling Contractor Qualifier# Dwelling Contractor# Building ConU•actor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Famil � Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �c� C�_ . `d�LQ � �,Y
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$_ a�_c���� b� (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 consplete and accurate. Any deviations from the above subntitted information may requir•e additional permiis
o be obtained. I acknowledge and agree to these terms.
� �
Name: S (�t � (Please print) Date:�- �o�' 1,�
�
Signatur • '�'��_�