HomeMy WebLinkAbout0155110 - Building (windows) CITY OF OSHKOSH No 155110
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1522 OHIO ST Owner WILLIAM AANDERSON/SARAH A BENDER Create Date 04/05/2013
Designer _ Contractor WINDOW WORLD OF MILWAUKEE
Inspector Nicole Krahn
Category 040-Windows _ Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze _
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 0 Pier 0 Other
0 Concrete Block 0 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/INSTALL(4)REPLACEMENT WINDOWS IN EXISTING OPENINGS-NO STRUCTURAL CHANGES **debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,620.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: crn&L) Date 04/18/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1301260000
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 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 FROM- T-170 P0002/0002 F-596
/�/� P0 Box 1130
City of Oshkosi'G/� • Oshkosh,'lW154903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application "'w'•ci•oshkosh.wi.us
Project •
Address i e
Applicant Ownerontraeto�,, Tenant Other(describe) •
Owner
It 1
Tenant/ Name U V ��� r rIt can Phone Can-32;5-0(065
Address \ 7_7_ (")...hiThatilh.y.:163.. 1 n 6 email
Contractor Company Name\61�+(�(�(1n(\/\JM, Q Mtt4aome I i r_ Phone j 71���-cc
Contact Liz-_z:veLbaKen Ektail 4 m. @th j(Q One.rnU.ii•fit
Address ��� l(j►.�. y.c.l• Geri i'1i-t) w+ 6"(302:2_
State Credential#'s a361 LC) ,t Oaf
Dwelling Contractor Qualifier it Dwelling Contractor# Building Contractor Registration Il
Achitect/ Company Name Phone
Designer _.
Contact Email :
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Category New Addition Alteration ep1a rnen# W∎re 1S
Project
Description
I .
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating b
_ g y
Value of Job toll)
$ � DU (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cerl{fy the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name: l Pei 04,Mir (Please print) Date:^ 1 Hi 13
Signature; 1.1