HomeMy WebLinkAbout0155915-Building (windows) �
� CITY OF OSHKOSH No 155915 ;
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1111 ELMWOOD AVE Owner KENNETH UADRIANA O SCHAUFELBERGER Create Date 05/31/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
Zoning R-1C 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 0 Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR\Replace 43 windows in existing openings
of Work
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I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $12,000.00 Plan Approval $0.00 Permit Fee Paid $112.00 Park Dedication $0.00
Issued By: Date 05/31/2013 Final/O.P. 00/00/0000 =
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❑ Permit Voided� Parcel Id#0506610000
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.
05-31-'13 09:39 F�OM- T-240 P0002/0002 F-908 �
POHox1130
� Clt 0 �S�'C�OS� os�sn,WI54903-1130
y ,f Phone:(92a)236-5030
� l�ax:(920)236-5084
�uildYng Permit Appl�cation "'"'"'�p�°S"k°Se.`".,�
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A a�tB � �� vJ o�d �
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Applicant Owner Contract�or.., Tenant Other(describe) ,
Owner/ Name � �,�1�il Phone � (p — �y
Tenaat �1 j.,���
Address � � 1 G Email .
Contractor CompanyName�I�Ylnl�n(V��kJCI_Q� Iv1i1vJ(��)1C�Q 1 i.f. Pt►one ZIoZ'����-�7�
Contact _7_2..1 , '�\ Emai! CUW�1/1�Yhi��l%U1�1����'1,.MG�,1�.�
Address W�'�1�)iJllS'1 i�(lci t�►�.�..C�. (�-�eJ�' �tt�w41.�)� 5'd02.�2
� State Credential#'s �b1lG , �t�1�,+1 p°+ ,_w,
Dwelling Contractor Qualifier# Dw�IlinS Coutt�eCOr# Huilding Contraetor Rcgishation#
Achitect/ Company Name Phone
Desi�ner
Contact Email
Address � •
Permit Typ fiesidential Si ( i y Resider►tial ) _� .�omm�al Multifamily Industrial
Catagory ew Addition Alter ion ��(1�" UV� ..(Cwlrlr
Project ��"��Y �
Deecrfption � �
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Mechanica! Separate permits will be obtained for the following:
Permits Electrical by Plumbing by l'-Teating by __ .
Value of Job $ I'Z , alue for materials&labor is re to ensure oonsistenc in accessi '
N q• y ag pw�mit fees for ali appiicants,)
payment by: �� Check � Cash Pcrmit Fec Account
1 cert�the a6ove infor»ao�iar ls cn�►rplete und eccuro[e. Any deviotlona from/he above submhled rnJ'ormarlon►►iny wequ;,•e addrliorwl permils
[a be obtained. !acknowledge and qgree�o ehsse ternu.
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Name: (Please print) Date: t� �.�1 1;�
Signature:
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