HomeMy WebLinkAbout0157572-Building (windows) � CITY OF OSHKOSH No 15�s72
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 335 W 17TH AVE Owner PATRICK V ROBERTS Create Date 09/06l2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze
2oning 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
� 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/(11)replacement windows in existing openings
of Work
'**debit acct"
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,888.00 Plan Approval $0.00 PermitFee Paid $51.00 Park Dedication $0.00
Issued By: '��/V` Date 09/06/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1404430000
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 activiry.
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.
e5-05 13 14:30 F�OM- T-357 P0001/0004 F-468
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C�t1/ Q��s/LK.QSI G ^Le N I av ~ Oshkosh,WI 54903-1130
.J ,�,��I�,�.__�.� ��V� , Phone;(920)Z36-S030
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Address" �'.`_���'.��}- l���h c NP Ch 1C,(xs� � 1 5-{-G(��
Applicaat Owner Contra�to Tenant Other(describe) :
Owner/ Name�c�,hP r.�_ Phone L�c�CJ ��C��- ����-
Tenant -
Adaress �� w�s� ��i•h a�e a��h�as h �,� �����;.� .
Contractor �mp�y•Nama � �,1(IC1 O� M►I��I(t(��Q l„�,C,_Phone 7��-7(�`���
Contact �ZZ.1�. �`fl�'e..n Email ���tinlm►l�C,���i(P��P mr�t.l�. :
Addr�ss I� Q �(;l• 1 'r'�c�02. �
� State GYedential#'s �bl lC� ,_��(�.�t O°� , �
Dwelling Cpnlractor Quslifier il Dwe(ling Cqnorector# auildi�s ConlracDor Rogisuation�l j
Achitect/ Com an Name � �
besigner p y Phone
Contact Email � �
Address • '
Permit Type Resideutial Sic�gle Family Residential buplex Commercia! Mulfifamily Industrlal �
Catagoty New Addition Alteration �.. �����
Project � � :
bescripEioa �
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Mechanicai Separate per�aits will be obtained for the following:
Permita Electricai by Plumbing bY Heating by
ValueofJob � � ��� ,U�
(Vatue fo�raaterials&labor ia req.w onsure oonsisfency in accessing permit f�e�for all applicants.)
pa�mem by: Check # Cash ermit Fee Account �
1'cerliJy tht obove information 7s coniplele mad accure[s. .lny deviat�o�s from 1i�e abnvs subinrned injormat�on may regrdi�e addr,ra►�r�,�,�,s
ro be ob(ained. !ack�owledga and agree to thsse lerina,
Name: �=c,11�.j YYl� ��S � (Please print) I3ate: �S '�-t ' ��
Signature:�C.� �G r��� Q_ --
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