HomeMy WebLinkAbout2003-Building (window)OSHKOSH
ON THE WATER
.lob Address 165 WESTBROOK DR
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner HAROLD E/SHIRLE FAIRFIELD
Contractor UNLICENSED - UNKNOWN
Category 141 - Exterior Remodeling
No 105313
Create Date 11/14/2003
Plan
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning Class of Const: Size
Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection
Finished/Living 0 Sq. Ft. Bedrooms 0 Stories Canopies
Garage 0 Sq. Ft. Baths 0 Signs
Foundation O Poured Concrete ~ Floating Slab ~ Pier ~ Other
~ Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature SFR/Replace one front window and one rear patio door (same size and location). *NO STRUCTURAL WORK. Jeff Dobberke is the
of Work =ontractor.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor
$1,450.00 Plan Approval $0.00 Permit Fee Paid
$25.00 Park Dedication $0.00
Date 11/14/2003 Final/O.P. 00/00/0000
Permit Voided
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.
Signature Date
Address 165 WESTBROOK DR
Agent/Owner
OSHKOSH
WI 54904 - 7819 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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Of HKO/H
Building Permit Application oN THE
If Fou are a contractor participating; in the Permit Fee Account System and have adequate funds, check here
if you want this processed through Four account
CONTRACTOR \f~'/~'~- ' ' ~-
/2 /q
I am the: /~Owner OR [] Contractor
SE CATEGORY
~SingleFamily ElDuplex [3Multi-Family mRental
Work being done:
[] Addition
[3 External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] Stair/Handrail
[] Wrecking Permit
mConnnercial []Industrial
[] Driveway/Parking
[] Garage/Utility Structure
[2 Internal Remodeling
[] Stove/Fireplace
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
Any work not included in this application is not permitted.
job $ /. ~_4~'c9 (Va,ue for materials and labor is required to ensure consistency in accessing permit fees for all
Value
of
the
applicants.)
PLEASE READ~ SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from ~he above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name:
(Please print)
Signature: ~.~/?~ ~:7~' ~2f
Date: .//_/j ~z /
3/02