HomeMy WebLinkAbout0155745-Building (window & door) � CITY OF OSHKOSH No 155745
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1928 JEFFERSON ST Owner JUDITH A NELSON Create Date 05/22/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zonin9 R'� Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
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(1)REPLACEMENT WINDOW AND(1)REPLACEMENT STORM DOOR IN EXISTING OPENINGS-NO
of Work STRUCTURAL CHANGES "*debit acct
,
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HVAC Contractor _ Plumbing Contractor
Electric Contractor :
Fees: Valuation $979.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: ���(,�� Date 05/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1515330000
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.
05-17—'13 08;47 FAOM— T-223 P0003/0003 F-821
� P 0 Box 1130
City of Oshkosh os���,�54903_��3a
� Phone:(920)236-5030
Pax:(920)236-3084
Building Permit App�icatYOn """"'��'�°��k�e.w;.°g
Project � � . .
Address , � •
Ap�licant 4wncr Contractor„ Tenant Other(describe)
Te�uatit/ Name �v �cl��. Phone�,���,j,���� ��.�
Address �l'�-.. � ��c1lf `, • O`� �lvv`Ema�l���I
Cootraccor Company Natne�p�Q�(VVf���1 Q� �i�1n1(tU�� 1 1 C Phone 2: 1���' S�
cor►cacc �u.� , �, \i'.(1 � E�,a�t_��,�vVm�1` �' 11�i( f)N1P Iv1u i(.�
Address w�c ������1.�,-�C�,. C�e�MY1 �4'1 � c3�2.�Z. _ '
� State GYedential#'s b►�r.a ,_�I�s1 O°I ,
Duvelling Coniractor QueliQer# Dwelling Contractor�! Building Contractor Rcgisfraliou iJ
Achitect/ Company Name � Phone
besiguer ,
Contact Ema�� '
Address �
Permit Type Residentia!Single�amily Residential Duplex Commercial Mutfifamily Industrial
Catagoty N'ew Addition Alteration �,�n.� •��
Projcct
Description
� � - a�n� �'� �'�plc�c�mf.h � :
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Mechaaic�l SeparaCe permits will be obtained for the following:
P�"��� Electrical by �'lumbing b� Headng by
. Va1ue of�ob $ ��� �� N�ue for malerials&labor is req,to ensure eonsfsteney in accessing permit fecs for all applieent�,) :
Payment by: Check # Cash ermit Fee Account
1 ee►4t,jv Ihe above i►�'orrnalios Is conrple[e and accura�e. Any deviattohs from the above su6mined informalion may reguire oddiliona!permils
to ba obroineal !ocknowledge and agree tn these ferm.s.
Name: l�' i � (Plcasc print) Date: �� � (U
Signeture: