HomeMy WebLinkAbout0154344 - Building (windows) CITY OF OSHKOSH No 154344
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1016 W 9TH AVE Owner PREMIERE INVESTMENTS LLC _ Create Date 02/05/2013
Designer Contractor PREMIERE BUILDERS LLC
Inspector Nicole Krahn
Category 040-Windows Plan
Type 0 Building 0 Sign O Canopy O Fence 0 Raze
Zoning R-2 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 O Floating Slab O Pier O Other
O Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature 'SFR\32 replacement windows
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,900.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: C � Date 02/05/2013 Final/O.P. 00/00/0000
II Permit Voided' Parcel Id#0608370000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any nece�:ry approvals before starting such activity.
I have read and under e - ore mentioned information. 2/...CA
Signature �% y_ _ Date
Agent/Owner
Address 5541 GRANDVIEW RD LARSEN WI 54947 - 0000 Telephone Number (920)740-1636
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Citf P O Box 1 130
y of Oshkosh Oshkosh,W1 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application wvvw•ci.oshkosh.wi.us
Project /�
Address 1Q/O' 9/11 ,4
Applicant Owner cContraci's Tenant Other(describe)
Owner/ Name A'✓ve,ss.r ...�'n✓ems -/
Tenant �'" f L Phone �,ii 7 Y - 7.13‘.
Address53)7 ,-.4,,,,,...4,;,,,, la Le;,,,y, 4'2 Email
Contractor Company Name
P �'2�.ni*re._ v.a.^i L.Lc Phone %)e - X3'8 - /6.?d
Contact Li zj -3-7,`,7.c,,.t Email
Address j$y/ L!✓‘,..r juie t., el r^�%-7 l,f,�
State Credential #'s ht-40-1-57 , //50530
Dwelling Contractor Qualifier 4 Dwelling Contractor 4 Building Contractor Registration 4
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Duplex Commercial Multifamily Industrial
Catagory New Addition Alteratiory
Project V/y/ /-Q/per ,off L✓Mletilf
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 4 700
(Value for materials& labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
/cert fv the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be o�bttainee 1 acknowledge and agree to these terms.
Name:-� � ,J03Hfs-a.c (Please print) Date: l3
Signature: ��/
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