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0154671 - Building (replace 3 windows)
CITY OF OSHKOSH No 154671 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1710 SHERIDAN ST Owner JAMES M BRODA Create Date _03/08/2013 Designer Contractor ADVANCED HOME TECHNOLOGIES INC. Inspector John Zarate Category 040-Windows _ Plan Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze J 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 O Post 0 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/REPLACING 3 DINING ROOM WINDOWS-NO STRUCTURAL CHANGES **check#3358 of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $6,443.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00 Issued By a ' 'L.J Date 03/08/2013 Final/O.P. 00/00/0000 ❑ Permit Voided Parcel Id# 1201220000 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 71 S MAIN ST CLINTONVILLE WI 54929 - 1564 Telephone Number (715)823-2125 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. Mar. 4, 2013 12; (6P1 CIT' OF OSHKOSH INSPECTION Vo, 2476 P. 1 i ? P 0 13o 1130 CityCityof Oshkosh Ostikash,VIII 54903-1130 Phone: (920)236-5050 Fax:(920)236-5084 Building Permit Application www.ci,oshkosh,wl.us Project Address /7/2:' S;e//,©VrY-, ST6 'eP/ ,2s`>! .;►-.-/ l2- ..`--90/ Applicant Owner aniractar Tenant Other(describe) Owner/ Name e G_4ra PS FY 4— Phone 92-0 _'79 - "8 A Tenant Address /WO Sher 1440 ...6-tit--0/ email mm Contractor Company Name Mit• Phone 7/s— Sa;z3 -a I do?5- Contact f Ay ,3e- 2 Drr&- Email Lni('Ry �.51W;4,;...#00,..5 c,,.n Address / S�, yT� 1/� S/� 7 C'Li Q vrlte lei, 5- ._ State Credential ill's 47/WO ?77 Dwelling Contractor Qualifier ii Dwelling Conaaelor# Building Contractor Registration# Achiteet/ Company Name Phone Designer Contact Email Address Permit`y esidential Single Family Residential Duplex Commercial Multifamily Industrial Catagory New Addition ("Alteration Project re. a - rstdp•-,, j 11 ✓'0"eJAr Description _ c 4 rep/4c i-w S .7f- 1 w A 3 _ter.,, . A > e. , 11 Set I -• /,4 , i // 4/ w t I - I e 6,11-e--ii- 1't o-4 t�.e Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ �r Lili?., e for mate• &labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Ch k * 33S 8 Cash Permit Fee Account I certify the above irifornration is co rplete and ecurcie. Any deviations-from the above submitted information may require additional permits to b- .bi' red. 1 acknowledge a?r agree to th�esetet/erns Name: / G r ! ' Z ir{ _ r :; , Date: ,3/y�3 Sign, •r e: ��.... /`"