HomeMy WebLinkAbout0157672-Building (windows) � CITY OF OSHKOSH No 157672
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2240 W 9TH AVE _ Owner PAUL ANDERSON __ __ Create Date 09/12/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze �! .
Zoning __ Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms _ Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab 0 Pier � Other
0 Concrete Block � Post 0 Treated Wood __ __—
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR/install(10)replacement widows in existing openings �I :
of Work ,
'*debit acct** '
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I
,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,030.00 Plan Approval $0.00 Permit Fee Paid $72.00 Park Dedication $0.00
Issued By: J�'V� Date 09/12/2013 Final/O.P. 00/00/0000
o —
❑ Permit Voided' Parcel Id#
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.
09-11-'13 16;46 F�OM- T-365 P0002/0003 F-495
� P 0�ox 1130
� �'�►� �f�s��QS� Oshkosh,W154903-1130
� J Phone:(920)236-5050
� �ax;(920 236-5084
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�uild��g Permit Application `""'"'-``-08ak°&a."'ti�
Pro)ect �
Address� 1� �������L�,.,, w � ��'���
Applicant Owner � Contracto Tenant �ther(describe)
Owner/ Name, f Phone C�l�"c� - pj �3
Tenant
Address��f�U �r(-E�I� �� (�iVQ I►IC�� 1�.1�S��tF .
Coatractor Company�N'ame���n(Vv�(�C�1 ��r �►���I(1 Q�L�Phone�� L��� ���
Contact ZZ.1 � Email �b�1/_1ri'Yl+�ut:11�1����1QMfA.11.(
�.aa����i , N It����.�Q_'P..�l. C�-�,e�r'nr�t����l ��0�,2_ � .., �
� State Credential#'s�lca11.0 , (�a�O , �
Dwelling Co�uactor Qualifier# Dwalling Canaaator# Building Coptractor Registratiop�1 i
Achitect/ Company Name � Phone ' `
Designer � `
Contact Email � �
Address �
Permit Type Resideniial Single Family Residential Duplex Comatercia] Multifamily Industria]
Catagory New A,ddition Alteration � ��.�. � ��
Project �
Description :
Yl S , :
Mecbaaical Separate permits will be obtained�'or the followirig:
Pe��� Electrical by Plumbing by Heating by
Value of Job $ 1� c�� ��� aiue for meteriais&labor is re .to onsura wnsis�cn in accesein
-�4�1• N Q cy g permit fees for all applicants,)
Payment by: Check # Cash Permit Pee Account_ � �
I cerl�fy lhe abnve injormatio►r is complele and accara�e. Asy devla�ions from�We obove submlped informaKon may require addt�rana!permrls
l0 6e oblained I acknowledga a�agrep lo lhese terms.
NarrlC:_�Q ,������ � S �h1��.(�y���ls� (Please print) Date: � "' � '�� �
Signature: 1"611 I`�`r�t-U.1C.�-�,