HomeMy WebLinkAbout0154949-Building (3 door replacements) � CITY OF OSHKOSH No 154949
L
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 210 E MURDOCKAVE Owner ARLIN D/PAULAJ ROTHE Create Date 04/05/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
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 0 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/REPLACE(2)ENTRY DOORS AND(1)STORM DOOR IN EXISTING OPENINGS-NO STRUCTURAL CHANGES '*debit acct
of Work
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,172.00 Plan Approval $0.00 PermitFee Paid $58.00 Park Dedication $0.00
Issued By: �l Date 04/05/2013 Final/O.P. 00/00/0000
❑ Permit Voided j Parcel Id# 1503350000
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.
04-04-'13 15;10 FAOM- T-170 P0001/0002 F-596
� /�/� P 0 Box 1130
City o��si"�/CD.s� Osiilcosh,WI 54903-1130
� Phone:(920)236-5030
Pax:(920)236-50B4
Building �'ermit Application ����;.oshkosh.,��.�s
,
Project .Zl� � m . �
Address �
Applicant Owner Contracto Tenant Other(describe)
Owner/ Name �
Tenant a�-���P� Phonc.��(��'" ��,���
Address 7`n 1� .I/�;l'����,� �(� 0����'1��;� 5�a�1
Contractor Company Name��(�(��(�(;� Q� {�t�b'�����Q 1 I r Phonc Z�]�.�j- ��
Contact Z�\ G� � _ '_�fiail i, �'Y1i � ' 1�I�Q� �M ,1(-
Address� �l� l� �'��lQ. Y-C:l. \-�ea('NYI,� �?�h,41 1�,�� CJC�iQ� !
� State Crodential#'s �iblLp , � �t�,�� ,
Dwclling Contracfor Qpalificr# pwcliing Conaactnr# Building Contractor Regisvatioa�!
Achitect/ Company Name � Phone
Designer
�
ConCact g���
Address �
Permit Type Residential Single Family fiesidential Duplex Commercial Multi�amiiy Industrial
Catagory N'ew Addition Alteration , ,�n.�. ���-S
Projec� �
Description ` �
� �n d��rs �, C� ) �� p�c�cem�,n� ��r �
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1lxechanical Separate permits will be obtained for the following: .
Permits ��ectrical by Plumbing by �-Ieating by
Va1ue ofJob s � ��`�
__ 1�2•_v� (Value for materiats&labor;a rtq.to ensure consislency in ace�ssing permit fees for all appiieants.)
Payment by: Check �t Cash Permit Fee Account �
!cer[�y!he abova inforn�nt;on rs complete and oecu�w/e. Ar{v devralions from the abnv¢sub�llled i►F jor»w�ion mpy reqair•e addiiio,urT permils
to be pbtefned, I acknowladge arrd pgree lo rheae�arnu.
Name•- �,,, -l��� h�� . (P�ease print) llate' `�I "I 3 ,
: Signature: ;