HomeMy WebLinkAbout0157821-Building (window) � CITY OF OSHKOSH No 157821
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3172 BELLFIELD DR Owner ROBERT C/PAMELA D RESNICK Create Date 09/19/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection '
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garege Sq.Ft. Baths _ Signs
Foundation � Poured Concrete 0 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/install(1)replacement window in existing openings and(1)patio door in existing opening
of Work
*'debit acct" '
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,256.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �. Date 09/19/2013 Final/O.P. 00/00/0000
y � Permit Voided I Parcel Id# 1381690000
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 understand the afore mentioned information.
Signature Date
AgenUOwner
Address W188 N10707 MAPLE RD GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
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 speci�ed 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.
09-18-'13 14;24 F�OM- T-379 P0003/0003 F-535
P 0 Box 1130
� Glt o ashkosF � �s�o�,wr s4�o3-i i3o
y .� Phone:��o,�6-soso
� Fax:(920 236-5084
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Bu�lding Permit Applic�tion "�"'•�'.°s"k°�d."''.�
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ProJcct ������ • f�A
Address' ��Ivl� ���P,� 1�. �` (�S W 1 �i��-�0�-
Applicant Ovcmer Contractor Tenant Other(describe)
Owaer/ Name_(��1�� ��e�'r��CK .. Phone�n°�(���<�/ �
Tenant
Address�l�� �hJ�a�k.'A(� lv I �;�FGfl�4 Email . �
Contractor �mpany�Name���(_�GY�C� �� ���1,�1(11)�('.��=Phone - �;�- �l�
Contact ZZ.` . , � �mail �.(�LJi/I�YYI�IvIJl1l�1(Q�I�P_MU I I.(
Address�L�1�. I��O�II�`I � f� �[`�• �-� 1rMY`� M�41, � 'r'vi30�2 '
� state Credentiat#'s �b1�p ,_�bi O°r �
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DweUins ContracWr Quslifier# Dweqing C000ractor�1 Building Conuaotor RegisGatioa# I
AcGitect/ Company Neme � Phone
Designer �
ConCact Email � �
Address � � �
Permit Type Residential Single Family Residen�ial Duplex Commercia! 1Vluldfamily Industrial
Catagot'�► New Addition Alteration ���. '���
Praject
bescription
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I � c� � )r� -ex�,r i
Mecbanical Scparate pennits will be obtained far the following: :
Pexmits Ele�trical by Plumbing by Hcati b
� Y
V�lue af Jab $ �.a -��''�P �l�C.l (yalue for materials k labor is req.to ensure ooqsishnc in aooessing permit fetss for all applicat�ts,) .
Payment by: Check #i Cash ermit Pce Account , b _
!oerfify�he a6ove iryformation is co�nplele aHd accurafe. Any devra/ions froni the above submi�ted�njormntion may require arlditionaJ pern�its
�o be oblalned lacktrowledge and agree to lhese lerms.
Name:��I��_��'� b� . (Pleasc print) Date:�,aj'.��
Signaturc: � Q