HomeMy WebLinkAbout0157223-Building (windows) � CITY OF OSHKOSH No 157223
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2125 JEFFERSON ST Owner BENJAMIN/DAWN PAEYENEERS Create Date 08/09/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign 0 Canopy 0 Fence 0 Raze I
2oning R-1 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 0 Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Fiood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature jSFR/replace(6)windows in existing openings
of Work
"debit acct**
:
II �I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,471.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: _ �/� Date 08/15/2013 Final/O.P. 00/00/0000
❑ Permit Voided! Parcel Id# 1515740000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W188 N10707 MAPLE RD GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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� � phone:(920)236-5050
� Fax; 920 236-5084
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Bui�ding Per�nit AppZication p'p'"`�°$bk°$a.w'.°8
Project � .
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Applicant Owner Contracto�,, Tenant Other(descri6e)
Owner/ Name ' P f Phone�O�� ' �D�� � ,%���
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ContracEor Company Name �' � � _ Phone `
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� State Credential#'s��l L� ,�l�,�Q� �, f
llwelling Contrac0or Qualifier# Dwelling Coatractor# Bullding CoatracrorRegistration�! ;
Ac6itect/ Company Name � Phone I
, Designer
Contact � Email
Address � • �
Pei�mit 1y�pe es�dential gle Family ltesidendal Duplex Commercial Multifamily Industrial
Catagory New Addition Alteradon ���. ��
Project
Description
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Mechanical Separate permits will be obtaincd for the followIng:
Permits �ECtrics!by Plumbing by Heating by
Value of Job $��,��U (V�ue for matCrials 8c labor is req..to ensure oodsistenc ia aocossing permic t�s for all applicants.)
Payment by: Check # Cash ermit�ee Account
I cert�the ubnve rnfornrar8o»ra co�nplete and accureie. A►Zy deuloltonsfrom the above su6mrnsd infor+nalion niay reguira uddrGanalpermifs
�o be obtained. I ack�mwledgs and dgrge�o�hes��arms.
Name:__t�a ;` �\_T � I � �.� �(P►ease print) Date:_ �' . '�• �� �
Signature: I�a d.Q.l �• Slx
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