HomeMy WebLinkAbout0157575-Building (windows) � CITY OF OSHKOSH No 157575
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2801 MONTCLAIR PL Owner DAVID P/FAYE E LEATHERMAN Create Date 09/06/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan '
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 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 0 Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dweiling Units 0 #Structures 0
Use/Nature SFRJ(14)replacement windows in existing openings(1)entry door and(1)storm door in existing openings
of Work
�*"debit acct" '
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,676.00 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
Issued By: �fvY� Date 09/06/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1331250000
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.
09-05-'13 14;31 FROM- T-357 P0004/0004 F-468
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/� /�' uate��,�.W � B , ,�.w~ ~~Y P 0 Box 1130
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� f ,_�1�.�...w.. Phone:(920)236-5030
I l �'ax: 920 236-5084
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I�uildYng Permit App�ica��ron "'""•`��g��°'"."�.'�
Project � •
Address� 1� I �
Applicant Owner Contracto Tenant Other(descri6e) '
Owner/ Name____��/� L� �-f'�1Pl�r�'�r'.�� phane �l rZ C:� • a ?�� � �G �
Tepant
Address_c_��S'(>1 �1Ui1 fiCI C�,l r !��('�r�C' �.SI1�C(��a�� `;��CI (
Contractor �mpany�lVame�,n(�VV�(�C� _�� ��Iy���� � 1 C. Phone Z�pZ��:�T-�c �
Contact_�Z�-1'(�._�til�� .._. Einail GUbJjL(YY1i�`1:�11�I�Q�P�.MGI.I�.(
Address�(,�, � l�S j(�d, ��.�,• (�� �/�.h�t?�n,�1.l.�)� �3QZ2 �
� State Credential#'s�(�1 l.0 ,_.��al 0°I , ;
Dwelling Contracfor Qualificr# l�wel(ing Ccnaactor i! Buitdiag Cootractor Rogistratioa� i
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Achitect/ . !
Company Name Phone
Designer '
Contact Email � �
Address � •
Permit Type Residendal Single Family Residenual buplex Commercial Multifamil� Yndustrial
Cabgory New AddiCion Alteration ����. F
Project �
Description �
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I -P,17'��l ��l���j' � CQ� 1(?('�C1�1P.fl�l ►r� -�u i,f�� �`1C7 ���[���� .
1_.S�"�r� t�� - ('{f�l>� �r��l(1c��r��rl"t� 1n �x►���/�r%�"X�,f'l i ��C`�S
Mec6aoical Separate permits wil!be obtained for the following;
pQt°'i� Electrical by Plumbing by ��a� b
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Value of�ob � �`� �p alue for materials dE lebor is
�,�` (V req•W ensure oonsistenc in qccessing pdtmit fas for all applicantg.)
Payment by: Check # Cash ermit Fee Aceount
I certE/'y!he o6nve ir�armalion is coniplete and accurate. Any daviations fran lhe abnvs subrnined Jnformnt�on may reqwira addiliorral pernrils
/o be obW»red. J aelhrow/edge and agnse lo Jhese lerms
NamC;_ ��L��V 1^51�1 _�_�� (Picase print) Date: � ,�< ��
Sig�ature• I l._�± 1 Q A.��:Q�1. � '
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