HomeMy WebLinkAbout0154736-Building (windows) � CITY OF OSHKOSH No 154736
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1303 HAZEL ST _ Owner JEREMIAH M/MARGUERITTE F MILLER Create Date 03/18/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
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 � Floating Slab � Pier � Other .
� 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
Use/Nature SFR/INSTALL(4)REPLACEMENT WINDOWS IN EXISTING OPENINGS-NO STRUCTURAL CHANGES "debit acct
of Work ,
—
— -
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation ___ $1,114.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: �(� Date 03/18/2013 Final/O.P. 00/00/0000
� Permit Voided Parcel Id# 1509180000
In the performance of this work I agree to perForm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W188 N10707 MAPLE RD__ GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing, Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
03-15-' 13 10;25 F�OM- T-143 Pa002/0a03 F-464
POBox1130
� �1t1� Of�S��OSFL osw�osn,�'JI 54403-���o
Phone:(920)236-5060
� Fax:(920)236-5084
BuildYng Permit Application `"""'�``.°S�k°$a.,�.°S
Project I �D� �,ol��.( ���P.�
Address 1
Applicant Ovwner ContracCO� Tenant Qther(describe)
Owner/ Name_�"P,[�„��(:� V , m�I(�� _ Phone g��.� _` Z.D�5��
TenanE �c
Address (j�� �}`��� \��P��" �mail �
Contractor CompanyName� ��Y1(� . VVf�(�C1 � ���b��l P � lr_ 1'hone �.�p -����-"Ic�� _
Contact � 1ZZ:��, 1.���fl�'�-� _ Email P�b�V1�YY1���l'.411�I�Q��_MU,I(.�
Address,�����0�� C`�!��.� . \ri MQ 1�1.��� ��UQ Z..�
State Credential#'s�b11.d , ���1 C�°I ,
]�wclling Contractor Quali6er�l Dwelling Con7actor# Building Cootractor Registradon�!
Achitect/ Company Name Phone
Designer
Contact Email
Address �
Permit'I`ype Resideniial Single Family Residential buplex Commercial Multifamily Industrial
Catagory NeW Addition Alteration - ��(�} 'y�(���
Project
Descrip�ion
�p�A,�QXY��X1�C' � �L�L''�n1�S �Y1 6C��i�f`G t�Yll � .
MechanicaM Separate permits will be obtained for the following:
Permtts Eleetrical by Plumb►ng by Heating by
Value of�ob $ � I�I� •(�� (Value for matcrials&labor is req.fo ens�eonsiatcney in accessing permit fees far aJl applicantsJ
Payment by: Check # Cash ermit�ee Account
I eerlify lhe o6ove lnforntofion Is co�splete ond accurafe. Any devlations fro�n[he above su6mft�ed ir�(ormal�on may reguire addlrional permYrs
to 6e obtalned. I acknowledge and agres 10 rhese lerms.
Name: (Pleeae print) bate:
Sig�ature:
Received Time Mar, 15. 2013 10: 19AM No. 2534