HomeMy WebLinkAbout0157226-Building (windows) � CITY OF OSHKOSH No 157226
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 603 OTTER AVE Owner JASON R WERNER Create Date 08/13/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign 0 Canopy � Fence � Raze I
Zoning R-4 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature i UPLEX/INSTALL(12)REPLACEMENT WINDOWS IN EXISITNG OPENINGS-NO STRUCTURAL CHANGES "debit acct
of Work
"PENDING DEPOSIT TO ACCOUNT" '
,I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,299.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: Date 08/15/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0801830000
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
Agent/Owner
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 specifed 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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Project �
Address 3 D-��t�'h,�arh �( 1 ���/'�'.O� ,
Appiicant Owner Contracro�,, Tenant Ot3�er(describe)
Owner/ Name i lY.�� Ne�r n P r Phone qc�D .o?t"[Q • ��� q
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Contractor CompanyName��+(�(���(��� �� �����i i��K�_lj,��phone��p2.-�(���-�c � :
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� Statc Credential#'s��ilbl LO ,_��le,l�°L
Dwalling Contractor Qualifier�f Avu'�Jlin�Contractor�1 � Building ConVactor RegistrStiOn#
Achitect/ �
Desiguer Company Name Phone
Contact Email
Address � �
Permit Type esidenti ingle Famil� Rasidential buplex Commercia! Multifamity Indusirial
Catagory New Addirion Alteration • •�����.�. ��C��
Project
bescription
a 'n �s� k . �
Mechanical Separate permits will be obtained for the following:
Permits Electrical by plumbing by Heating by
Value of Job $ `�C�
(Valuc for matcrial9&labor is rdq,to cnsure oonsisteae ia 8ee.�ssing permit facs for all applicants,)
pa�ment by: Check # Cash ermit Fee Account
1 cert�the above injor»wtion is co�nple�e ond aecurate. Any devra�ions fro�n the above subme�ted inJ'ormarion may requb e add;Gonal pe��,.r►rs
ro be obtained. !acknowledge arrd agree to these terms.
NatriC:__�'�u (�j�� �� (Please print) Date: �' Z�LI•�3
Signature• �