HomeMy WebLinkAbout2013-Building (window) � CITY OF OSHKOSH No 157919
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 1107 PIERCE AVE Owner WILLIAM N HAFEMANN Create Date 09/25/2013
Designer Contractor MICHAEL P BERNIER '
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence 0 Raze I
Zoning R-1 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 0 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 SFR/INSTALL 1 VINYL REPLACEMENT WINDOW(SAME SIZE&LOCATION)-NO STRUCTURAL CHANGES "check#5955 �
of Work
I --- —�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: ���(,J Date 09/25/2013 Finai/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1606000000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 understand th 3fore me�ed information.
Signature ,/��, Date p��–/3
�
Agent/Owner
Address 1108 PIERCE AVE OSHKOSH WI 54902 - 3454 Telephone Number 233-3438
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 �
C'lty �f OS���S� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application �'N'H'•ci.oshkosh.wi.�s
Project '
Address
Applicant Owner CContra tc or Tenant Other(describe)
Owner/ Name�;� � �I��MA-c� Phone
Tenant
Address ,/(J 7 ///C=/'�'F e�CU� (%�( Ss/�z Email
Contractor Com an Name �c 9c / �cJl��'
P Y `i � /' Phone_��tu—�33 3�3�
Contact �1/��= Email
Address / 1 U� ViC-d'('c` /�(J�`—
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration# :
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Ty Resider�ti�-Sir� le F Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project �� U i����P�t c�N'� Gv/�J c�'du,� /i`-' 6�c/S��hr O��i r`�
Description �
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ � s (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 co�nplete and accu�•ate. Any deviations frorn the above subn:iued information may require additional permits
ro be obtained. 1 acknowledge and agree to these terms.
Name: ���1 i9'F� �N'�tl/C—f` (Please print) Date: l(''���-3
Signature: ��,,,�_