HomeMy WebLinkAbout2013-Building (bay window) � CITY OF OSHKOSH No 158312
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 885 ADAMS AVE Owner CHRISTIAN AlHELEN M GOSSETT Create Date 10/17/2013
Designer Contractor OWNER
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy 0 Fence � Raze
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Zoning C-1PD Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
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 #Dweiling Units 0 #Structures 0
Use/Nature SFR/installing new bay window in place of double hung window/all work will meet state and local codes/header per plan
of Work I
HVAC Co�tractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: � Date 10/17/2013 Final/O.P. 00/00/0000
❑ Permit Voided!� Parcel Id# 1608070000
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 s he afore mentioned information.
Signature � �ate �a/�7 /3
AgenUOwner
Address Oshkosh WI 54901 - 0000 Telephone Number
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.
R
� P O Box 1130 ��
� C�lty �f OS/���s!L Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application ����.oshkosh.wi.us
Project ���� —l�C� S l v�
Address
Applicant Owner Contractor Tenant Other(describe)
/�/ � �/ / �
Owner/ Name ` �ir- � I—f�'1 9�L��S��� Phone �j,�O �/l y�p'/
Tenant
Address ��� ��G1� S � Email �r "o�sP�� ° .-�•%� v�
Contractor Company Name Phone
� Contact Email
Address
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Sin Residential Duplex Commercial Multifamily Industrial
Catagory New Addition terat�on
Project iJl l �✓f � i�i v., - _ �itd:�/ d' I� T�ll ,cS�
Description r
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ 1��� (Value for inaterials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above injormation is complete and accurate. Anv deviations from the above submitted infor•mation may require additional permits
to be o ined. 1 acknowled e and agree to these terms.
/� , �
Name: C �'.j�ti/� °i'd il� (Please print) Date: � ��7�/�
Signature: ����