HomeMy WebLinkAbout0157819-Building (windows) � CITY OF OSHKOSH No 157819 y
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Id, -1 w
Job Address 712 W LINCOLN AVE Owner CHAD S HAGERMAN Create Date 09/19/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign 0 Canopy � Fence � Raze �
Zoning R-5 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 0 Other
� Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature FR/install(10)replacement windows in existing openings
of Work I
�**debit acct*" I
i
II i
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,360.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: Date 09/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided 'I Parcel Id#0504710000
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.
� CITY OF OSHKOSH No 157819
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 716 W LINCOLN AVE Owner CHAD S HAGERMAN Create Date 09/19/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan '
Type � Building 0 Sign � Canopy � Fence � Raze i :
Zoning R-5 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
Use/Nature iSFR/install(10)replacement windows in existing openings
of Work
'*debit acct"
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,360.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: _�k/l,. Date 09/19/2013 Final/O.P. 00/00/0000
❑ Permit Voided; Parcel Id#0504700000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W188 N10707 MAPLE RD GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
09-18-'13 14;23 F�OM- T-379 P0001/0003 F-535
P 0 Box 1130
� �Zt � QSrL/G�s•!` OsWcosh,WI54403-1130
� f Phone:(920)236-SO50
� Fax;(9z0)236-5084 .
Bu�lding Permit Applicat�ian '�"'"'���08�`°'".°�.°'
Pro�ect �
Address' ''11�._,.-1 h('!�I f7 C�,v�. tl�'h 1�OSh yY I �q C�(
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name�hQC� I-ILk(�aP r►�nn n Phvne
Tenant
Addr�ess �mail . '
Contractor CompanyName VV ; �� Phone �.�OZ'���?Y-'Tc7�
Contact ��22��. �_�1,_h_\� � Email �►,J1IV3'Y►�IC�(,���i(�0�1P.rnc�.il.c
Address�11 1���l�l CYll�C�1$._'�C:�. (�aea('Mri�{1�41,l.v� 5 c'�?2.�2., � :
� State Credendal#'s �'�Inl ll� , ���1�►p°► , '
Dwclling Contractar Qualifier# Dwalling Caotracfor# Building Contr�actor Rogistration�! 1
Achitect/ Company Name � Phone `
Desigtier �
Contact Email :
Address � �
Pertt�it�pe Residential Single Pamily Residential Auplex Commercial 1Vlultifamily Tndustrial
Catagory New Addition Alteration ��- '�W�
Project
Description
�� � '� •`� �
Mcc6anical Separate penmits will be obtained for the following:
Permits ��ectric,al by Plumbing by Heating by
Value uf Job $ r�,��n �� �ua for mat�rials&lebor is rcq.to cnsurc wosistw in access
(Z_N ��� ing petmtt f�s for e!1 applicants.)
Payment by: Check # Cash Permit�ee Account � � � ,�(�
!cerljjy the above i►�fornm/ion!s ron�plrte and accurale. Any deviatlons from lhe above su6mined infor»�ntlon muy reqplra avldtifona/permlts .
to 8s obtainsd 1'acbwwledgs and agree�0 lhase lerms.
Name: `!1!1�,�! �,�� � (Please princ) Date: (��_(��' ��
S16natUre: �}��'��1�