HomeMy WebLinkAbout2013-Building (4 doors & 1 window) � CITY OF OSHKOSH No 159055
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2857 RUSCHFIELD DR Owner HAROLD J/LAURA J GOEKING Create Date 12/13/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence 0 Raze
Zoning R-1 Ciass 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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/install(2)entry doors, (2)patio doors and 1 window all in existing openings
of Work �
�"debit acct"
� --- ------ -- — ------ —�I
HVAC Contractor Plumbing CoMractor
Electric Contractor
Fees: Valuation $9,907.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: �., Date 12/13/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1340730000
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
Agent/Owner
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 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.
12-13-'13 09;29 FROM- T-475 P0001/0001 F-087
� POBox1130
� Cit,of Oshkosh Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Bux�dx�g Permit Application �•�i.oshkosh.��.�s
rro�e�t
Address ��5 J`�� �.usCh��l�l r�r,�e �('�1 �(�'h 1N � 5��/�"
Applicant Owner Contractor.j Tenant Ofher(describe) .
Owner/ Name�(�,� � � �L�.,Y�. �'�(J C'.IC�I�CI _ Phone Qo��- c� _�Lr�•.�.��
Tenant
Address c�� C�J C��Y • �SYI �U�f d1 Vv � �'X�
Contractolr �;pmpany Name�l 1 Cl(;��(�1 �(`��Y �(� UI" ���YYa.�,��� Phone�lp(� -'�O_-��` �
Contact K��I,� �� I'� �mail
Address 14S� � U�d1 ���� �Ci. C�1 ' �h( ►1 W �
State Credential#'s �`�j� � � U ,�' ,
Dwelling Conhactor Qualifier# Dwelling Contractor# Building Contractor R�sisuation�
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Achitect/ Company Name Phone '
Designer
Contact Ernail �
Address
�etmit Type �esidential Sing[e Fami1'}� Residential Duplex Commetcial . Multifamily Industrial
Catagory New AddiCion Alteration
�'"°;�c � I m �' � vDrs re I Ct C:� me n � �
Descrfptton
��rs � �e 1 ct� r�-�Pn � i r� �1 � x �r�� �
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Nlechanical Sepazate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of�Ob $ u� ,� �lue for ma�erials&labor is re to ensure consistenc in accessi
� (V 9• , Y... .... �P�r►nit f�es for all applicants.)
pa�ment b�: Check # Cash -"""Permit Fee Acco 9 (�,(� .
I cerl�fhe above�nformallon is complele ana!acervare. Any deviotio�rs'from the ab�2'�"ub'm�n¢d fnformafion may require alklifio►�al pe»nrts
to be obtained I acknowledge a►ul agree to these terms, ('� �
Name: �\I �I)��S (�PlcaRC Print) bate:I���`1"�
Signature: