HomeMy WebLinkAbout0157145-Building (windows) � CITY OF OSHKOSH No 157145 '
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1937 MICHIGAN ST Owner 1937 MICHIGAN STREET LLC Create Date 08/09/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
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 #Dwelling Units 0 #Structures 0
Use/Nature SFR/replace(4)windows in existing openings
of Work
*debit acct"'
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I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $950.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: �� Date OS/09/2013 Final/O.P. 00/00/0000
V ❑ Permit Voided j Parcel Id# 1409610000
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. :
08-09-'13 15:24 FAOM- T-322 P0003/0005 F-303
� P 0 Box1130
���'�,J ��Q�'��Qs� Oshkosh,WI 54903-1130
� J Phone:(920)236-SOSO
Pax:(920)236-5084
Bui�ding Permit Application ����.oshkosh.�.�
Project � .
Addreas 31 rn �ch � (k, �f. �.rj� w I , U
Applicant Owner ConCracto � Tenant Other(dcscribe)
Owner/ Name�(,�..__ 12.C.P�2
Tenaat ., Phone�O�U ' a��' � �¢'
Address ���"� �'�11 G h I (_.�` ,/r) ,,f Email
Contractor Company�Natqe VVf�( � �� . Phone Z�] � ��
Contact��\'�, ����� . ... F,�ail ,� � i �1�1(Q M �
Address_�I1�{��Q�II��I YYl[i d►��1`�� Y�t't�M,41.L�l� 5 i��Z2 �
� State Credential#.'s�1�1►,p ���(��Cjc� , ;
Dwelling Contractor Qualifier� llwelling Contractor� Building Contracror Ttegistration# '
A.Chitect/ I ':
Company Namc Phone !
Designer
Co»tact Email
Address � � �
�ertnit Type Residential Single Fami(y Residc�t�ial Duplex Commercial Multifamily Tttdustrial
Catagory New Addition Altetation �
� c�,2,m�n� w; ic�1
rro�ecc
Deecription
'�/� �Irl � ,
Mechanical Separatc permits will be obta.ined for the following:
Permits Electrical by Plumbing by T�eatin b
g Y
'V's�lue of dob $ (���� •��
(Value for materials 8c labor is req.to onsuro cons�Bfrncy in aee,�9diag permit fee3 for all applicants.)
payment by: Check # Cash Permit Fee Account
I cer1�the above;r,forn�alion is con�plett a»d neeurnle. Any devia[ions fro►n tlie obove ar�bmilled i,F fornwlion nroy reguire addl�lonul permits �
to be oblained !acla�owlerlge u►rd agree ro rhese�erms.
Name: � YYl �� �� (]>�eese Print) Date: � Z.LD• � �
Signature: I� Q Q� � �'Q �
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