HomeMy WebLinkAbout0156660-Building (windows) � CITY OF OSHKOSH No �5ssso
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 312 DALE AVE Owner JENNIFER S HAHN Create Date 07/12/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-2PD 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
� 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(7)windows in existing openings
of Work
"debit acct'*
i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,936.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: �V�— Date 07/12/2013 Finai/O.P. 00/00/0000
� Permit Voided'I Parcel Id#0403920000
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.
07-11-'13 15;01 F�OM- T-293 P0001/0002 F-144
�0 Box 1130
� �l�'�,/ 0 �S`2kOS�'t og�osn�WI54903-1130 .
J � Phone:(920)236-5030
� Pax: 920 236-5084
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Bui�ding �ermit Applicat�oa , �'"�'��'.°sdk°Sh.�.�
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Address
Applicant Owner Contract� Tenant Other(describe)
Owner! Name �h � G� Phone ��0 f �J�� �_���2
Tenant
Address �� S • �� lj(�'2Q,Ir �� �� �mail
Coptr�ctor Company N'ame VV � (V�� _ Phone 7�(j�-�(���j-��
Contact Z�2..` , �� Emai1�1+�'l/1�Yh►��%�:11�i��0�1PMG�,11
Address W I��I1�11CS~I ti'�(1(�, ����.�. c�.����1'��`�0,1+1��� �r����2.
� State Credentisl�'s �b1lG , Q��Ic,l Oq ,
bwellins Contractot Qualifier# Dwalling Conaantor il Building Contractor Ragi�tration#
Achitect/ Company l�ame Phone �
Dcsigner
Contact Email .
Address � .
PermJt Type Residcntial Single�amily Residentia]Duplex Commorcial Multifamily Industrial
Cgtagory New Additipn Alteration ��{�n�. ����+�
Project
Description
`� �, '� '`. ,
Mechanicat Separate permits witl be obtained�or the following;
Permits glectrical by Plumbing bY Heating by �
Value of J'ob $ ���.Q� (y�us for materials 8t labor is req.to ensur�eonsistene in acccss rmit fezs for sU
u►S pe aPpticants.�
Payment by: Check #! Cash ermit Fee Account�
1 eer[Ify Ihe above infornwrion is con�plete ond oecuro�e. Any dev+�lions from�he above submir�ed informonon moy require addi�lonnl permi�s
ro be obmined: 1'ac�,owledge and agree to these►srms.
Name: (C'lease prin�) Date: � �
Signature: