HomeMy WebLinkAbout2013-Building (windows) � CITY OF OSHKOSH No 155744
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1201 RUGBY ST Owner KEITH J JOHNSON Create Date 05/22/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign 0 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 � Floating Slab � Pier � Other
0 Concrete Block � Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee _ $0.00 Fiood Plain Height Permit Not Required
Park Dedication Not Required #Dweiling Units 0 #Structures 0
Use/Nature DUPLEX/INSTALL(20)REPLACEMENT WINDOWS IN EXISTING OPENINGS-NO STRUCTURAL CHANGES "debit acct
of Work i
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,070.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: � Date 05/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1306390000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the Ciry of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W188 N10707 MAPLE RD GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
05-17-'13 08:47 FBOM- T-223 P0002/0003 F-821
� p O Box 1130
� �lty Q�OS'���5'� Oshkosh,W154903-I130
Phooe:(920)236-5030
Fax;(920)236-5084
Building Permit.Application �-��°�6kosh.w�.u�
Project - � b �
Addre$s
Applicant Owner Contractor! Tenant Other(descxjbe)
Owner/
Tenapt Name ��,�� �C�r1Y� �(l , Phone �2D•� JLi(�,_��L,� 3
Address �b\ � �, ��- Email
Contractor �mpany Name�(��n(UVt�C� �� ���U�� i�i_�r phone � -��,�- ��
Contact ZZ� . �',(� �mail � i �' 1�ILQ �MGt,I�.L
Address � I`���11�7 j�l(J,�1. �� C�E' 11�2v44`1,1.�1� �t3�Z,,2. �
' state[xedential#'s b►�c, �,�(�,l�jj�
Dwelling Contrador QualiPcr f! Awolling Contrnctor�! � Building Contractor liegisGation�!
Achitect/ ��p�y Name �
Dcsigner Phone
Contact E��� :
Address �
Permit Type R idcntial Single Famil Residential Duplex Commercial Multifamily Irtdustrial
Catago�^y New AddiCion Alteration ���,�n,�„ ,�,,
Prof ect �
Description ;
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1V1ec6anical Scparate permits wi11 be obtaincd for the followjpg;
p���� Elecuical by Plumbin b
� Y Heating by
Vs�tue of Job $ �p',� .�lj N�ue for mat�rials&labor is req.to cnsurc consiatonc in aocossing permit fees for all applicants.)
Payment by: Check # Cash Permit F�e Account
1 cert�the a6ove injorn�o�ion is conrp)eu ond accurate. A�y dsvlollons,�ro�n thc above subm�t�ed injarnrn�{on may require addtYtorw/permirs
10 6e o6rained. !acknowle�Igs an8 pgree to ihsse lerrn,f,
Name; �
(Please pr�nt) bate: � (D
SigttaCUre: