HomeMy WebLinkAbout2013-Building (windows) � CITY OF OSHKOSH No 157671
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2850 RUSCHFIELD DR Owner JAMES A/MARSHA SPAKOWICZ 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 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 � Post � Treated Wood --- --- —_
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
UselNature !ISFR/install(2)replacement widows in existing openings -- '
of Work
I'*debit acct*' ,
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,382.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: �� Date 09/12/2013 Final/O.P. 00/00/0000
V � Permit Voided Parcel Id# 1340540000
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 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 FAOM- T-365 P0001/0003 F-495
� P 0 Box 1130
City of OsFckosFc Oshkosh,WI54903-1130
� Phone:(920)236-5030
Fax:(920)236-5084
�uildiu�g permit Ap,plication �•ci.oshkosh.wi.us
Project � f�
Address� � f � � ����- T�
Applicant Owner Contracto Tenant Other(describe)
Tenapt, Nacne� S � Y�� �i. ,,�� I r�� Phone 9����T <� �
Address c_���`� �l a,c�h i P l�/ ,�r i v� ��h��h �,aa��r a � .
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Contractor Company Name��iJyy L�(��� �t� ���b��l��. �Lr Phone� - :�j�- •(�Q
co�t��.�.;z.�a�. 1�,h1:�an � , ._.._ ��a���41wm�1G�C6��icQ ►�P rnc�.i I.
Address � � � '� �j'��2,� �
� State Credential#'s '�j1c�1 lG , ��1 f7°I �
, �
bwalling Cohtracfor Quali6er# Dwelling Contractor# Buiiding ConoracWr Rtgistration# '
Achitect/ Compan�N'ame � Phone I
Designer
Contact g���
Address � � �
Permit Type Residential Single Famity Itesidential Duplex Commercial Multifamily �ndustrlal
Catagory New Addition Alteration � ��. •��
Y'roject �
Description �
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lYlechanical Separate pem�its will be obtained for the following:
Permits ���ctrical by Plumbing by Heating by
'Value of Job
$-----���o�_� (Value fir meteria�s 8c labor is req.tp�ure oonsistency in accessing p�it fecs for ell epplicants.)
Payment by: Check #� Cash ermit�ee Account �,�
tcert�jy lfie above ir�fornralion rs comple[e and accurote_ Airydeviationsfrom ihe abova submrpedfnformarios may require add��tonal pe»n��s
to bs nbmi�►ed 1 qc�aaowlsd'ge and ugree!o�hese lernu,
Name:_ Y_�11.�I �fh�� ��� (Pleasc print) Date: �
Signatlue: �4QQ��/'��5�
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