HomeMy WebLinkAbout0154989 - Building (windows) CITY OF OSHKOSH No 154989
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1027 MICHIGAN ST Create Date 04/09/2013
Project Roof and windows _ Project Number 0
Owner JEFFREY/SANDRA KNUTSON Plan
Contractor A-AEXTERIORS.COM INC
Inspector Nicole Krahn
Designer
Category 040-Windows Type of Plan
Zoning C-3 Square Footage
Major Occ Const Class
Fire Protection 0 Sprinkled 0 Unsprinkled I Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
COMM\Repalce 5 windows and repair roof
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: ___6100
__6 _._--� Date 04/09/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1300410000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting uch activity.
I have read and un. r•tand ore mentioned i
Signature p= / Date
Agent/Owner
Address 689 C,4 D WINNECONNE WI 54986 - 8801 Telephone Number 920-841-9004(Cell)
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Name: ' '� � �„� (Please print) Date: / i/7
Signature:
fr/Ze<Ze (� 0750,1
P O Box 1130
54903-1130
City of Oshkosh Gkosh Oshkosh,W
City Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project f A
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Address ( 0 Z" 7 ! c10,- S I
Applicant Owner Contractor Tenant Other(describe)
Owner/ _
Tenant Name A. (/7S�i'L� Phone yzd- ,(/---?'(-)0y
Address C i 7 G� / Email ,T[/0 (!7f( vC C4Tr a/
Contractor Company Name �1- ,6!` `l-C),eJ , (_ ,11/) Phone TL/'%e,0 y-1 ., /i
Contact l(-- 4/t7( ,$() Emai1T/,a77JI t't`JC 7/Ti f r.G'e2- 4 L'
Address 6 57 7 G'L aG-- ,9 (it/1iv'`17C� -w4 / fi'
State Credential#'s ,,� S‘b q , C 5((.7
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name 1-4.,, / - ` C(775-- ' Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration ,! r�
Project 5�,,t-t 4� 5 /�/'' /2 0 X_er-42.-rX
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 2,5)15- Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to b• oftaine,. acknowledge an gree se terms.
G
Name: /Ay (Please print) Date: 7 -frO
Signature: �'P/"Z 714 /75p (((