HomeMy WebLinkAbout158655- Building (siding) ;
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� CITY OF OSHKOSH No 158655 �
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1555 GALWAY CT _ Owner MICHAEL S/LYNNE ELDER ____ Create Date 11l06/2013
Designer Contractor SALZIEDER BUILDERS
Inspector Nicole Krahn
Category 042-Residential Siding Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-3 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 Not Required Occupancy Fee __ $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature !SFR/REPLACE VINYL SIDING ON THE NORTH&WEST SIDES OF THE HOUSE AND GARAGE DUE TO HAIL DAMAGE-NO
of Work ��STRUCTURAL CHANGES *"check#7353 �i
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation 6,450.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: �� Date 11/O6/2013 Final/O.P. 00/00/0000
❑ Permit Voided i Parcei Id# 1320514200
In the performance of this work I agree to perForm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and un and the afor en' ned i ation.
Signature Date ��6r�
AgenUOwner
Address 2470 NEWPORT COURT OSHKOSH WI 54904 - 7317 Telephone Number 233-4850
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P O Box 1130
n l..l-/-y �f OS G��SI L Oshkosh,WI 54903-1130
� �' ��' Phone:(920)236-5050
Fa�:(920)236-5084
Building Permit Application ����.oshkosh.w�.us
Project ��JrJ� �j�L ��� � T, �v��l`�CU�$/-� 1.1J l S�gL��
Address
Applicant Owner Contracto_r� Tenant Other(describe)
Owner/ Name /�/C/�1�E L �L D£i2 Phone 'y/C) �- y�(a�
Tenant '
Address �J Jr J �/� LGJl�`/ L► T_ f��S��}/�Email �f�
Contractor Company Name �jAL Z 1 £D�2 �L1/L 7f.e_S Phone ��� --3 �3 n
Contact ����,y �f�L Z/ ��Z� Email GSf}LZI�l7��2�N��c3.
Address O��''7L7 /��[_t>I���2T L' T. ��5}�/��%�- cS4�Q1>�/ ��2' C[�rY/
State Credential#'s a' �'7 � , � �1 r/ !p ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
. Achitect/ Company Name Phone
Designer
Contact Email
Address �
Permit Type Residential Single Famify Residential Duplex Commercial Multifamily Industrial
� Catagory New Addition Alt re ati n
Project R�PL�}� � /�A! L �A�'19AG�4 J�/D/�C� ('�l� /U f�,� SIDr�S
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ �� f„�5� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # �3 5 3 Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above subn:itted information may requir�e additional permits
to be obtained. I acknowledge and agree to these terms.
Name: ��R� ��L Z 1 � ��� (Please print) Date:
Signature: �:-• �-��
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