HomeMy WebLinkAbout0154737-Building (windows) � CITY OF OSHKOSH No 154737 .
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER ,
Job Address 1350 W 5TH AVE _ _ Owner ALFRED L J/KAREN K GEIS Create Date 03/18/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector Nicole Krahn
Category 040-Windows __ Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-1 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 0 Floating Slab 0 Pier � Other
0 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
UselNature SFR/INSTALL(6)WINDOW REPLACEMENTS IN EXISTING OPENINGS-NO STRUCTURAL CHANGES **debit acct
of Work I
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, ,
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HVAC Contractor _ _ _ Plumbing Contractor
Electric Contractor
Fees: Valuation $3,230.00 Plan Approval __$0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: � Date 03/18/2013 Final/O.P. 00/00/0000
� Permit Voided Parcel ld#0610450000
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
AgenUOwner
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.
03-15-' 13 10;26 FAOM- T-143 P0003/0003 F-464
� /� ' P 0 Box 1130
��t'�/ Of�SI"LlG�S+� Oshkosh,WI 54903-1130
. � �� Phone:(920)236-5050
�'ax:(920)236-5084
�ui�ding Per�a,�t Appl�ication �'!�'•ci.oshkosd,wi.us
Pro�ect .
Address �� � � , ��� �
Applicant Owner Contractor„ Tenant Other(describe)
Owner/ Name � 111P� t�-�,-P�t C,� l°hone 2.�"�--�Z�'" Z�
Tenant
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Address�.�7.�� 1/�� ,�- Gj� - �'1_ �mail
Concractor Company Name��'(1(l�vv G�(�C1 �1�- ���v� 2�Q �j�Phone �.�pZ'����-�c�7�
Contact�lZ2\�� \A.\,,(l��C.� Email �1,J'1NYh���l'.41(�I�Q f�6`�Mfa,l l(
Address��I'��071��1 Y�(1(i t�►2^'�f`�,� (l� l�'��1-t,�,41.(,�1� ��U�Zd2.
� State Credential#'s ��►lp , ��t�,,�e1q
'bwelling Conaactor Quelitier�l Awo7ling Contractor# � Huilding Contractorltegistmuon�l
Achitect/ Company Name Phone
Designer
Contact Email �
Address � -
Permit Type Residential Single�amil� Itesidential Duplex Commercial Multifamily Tndustrial
Catagory New Addiiion Alteration ����-�.
Project
Description �
S �►n `5� , , �
Mechanical Separate permits will be obtained for the followittg: .
Permits �lectrical by 1'lumbing bY Heating by
Vatue nf Job $ (Value for materials&labor is req.to ensure conais�cncy in accessing permit fees for e11 appiicants.) .
Payment by: Check .� Cash Permit Fee Account
!cert�Ihe abovt infor��a�io�is conaplete and accurate. Ar{y deviaJiona fwom!he abave submlt�ea'informe�ion may reguir•e addiliona!peimils
!o be obtained. 1 acknowledge and agree fo these lerms.
N&rt1e: (Please print) Date:
Signature:
Received TimeTMar, 15, �2013�10: 19AM—'No. 2534