HomeMy WebLinkAbout0156661-Building (window) � CITY OF OSHKOSH No 156661
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1636 JEFFERSON ST Owner STEVEN J ROSKA Create Date 07/12/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy 0 Fence � Raze I
Zoning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms .Height Ft. ❑ Projection I
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(1)window in existing opening
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $633.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: �t.�," Date 07/12/2013 Final/O.P. 00/00/0000
� Permit Voided�I Parcel Id# 1504670000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement ,
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W188 N10707 MAPLE RD GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of :
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
07-11 13 15;01 F�OM- T-293 P0002/0002 F-144
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4�t'�,/ Qf QS`�k��� Oshkosh,WI 54903-1130
� -� ✓ Phone:(920)236-SOSO
�ax;(920)236-5084
�ui�ding Permi�Applicat�on "'"'"'.�i.°�k°$a.w;.us
Project �Kh��D �Je� � �
Address -.��,�/�� �
Applicaat Owner Contractor Tenant Other(describe)
Owner J Name �-Q V� �OS�4,o�.
Tenant . ._ Phane �(�—2,�1 � �p0
Address ���� �� ��t, _1�"1 Email
Contractor Company Name Y t' Mt _ Phone Z Q�� �(7Q
Contact �..171.\�'. �,�(l��'�(1 , Frnail ��fV11YYl��`�%'�Ji101(Q���MCAa l (
Address I'� l� l�S � �Q-L`�• 1 ��0��
� State Credential�.'s b11. , � �j(�,t O , ,
bweUing Contractor Qualifior�1 DWelling Canlractor�l Building Contractor Registratiou# �
Ac6itect/ Company Name ; �
Designer phone
Contact Email .
Address � �
Permit Type Residential Sir�le Family ResidenUal Duplex Comrnercial Multifamily Industrial
Catagor� New Addition Alteration ���n.�, w���
Project
Description
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Mechanical Separate permits witl he obtained for the following:
Permits Electrical by Plumbin b �
� Y Heating b�+
'Value of Job � �,33. � (�/a(ue for materials&labor is roq.to epsure consistency in aa;essing permit fccs for all applicants.)
payment by: Check # Cash ermit�ee Account
lcert�[hs above rnfor»�alion is com,plele and accurale. Any devrationsfrom�hc aboye subm;��ed rnjor»�mion may negLlr�addrlionalpermiu
�o be oblained I acbrowleGge arrd agree to rhese terrrrs,
N2me: 1 (Plcasc print) Date: �`1 (�
Signacure: �