HomeMy WebLinkAbout0157857-Building (windows) � CITY OF OSHKOSH No 157857
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 903 OREGON ST Create Date 09/20/2013
Project W�ndows Project Number 0
Owner BURNS OREGON STREET LLC Plan
Contractor LUECKS HOME IMPROVEMENT INC
Inspector Nicole Krahn
Designer
Category 223-Alteration Offices,Banks,Professional Type of Plan
Zoning C-3 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0 '
� Projection , Canopies Signs
Use/Nature
of Work
Comm\Replacing 9 windows.No structural changes i
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,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $12,950.00 Pian Approval $0.00 Permit Fee Paid $118.00 Park Dedication $0.00
Issued By: ��� Date 09/20/2013 Final/O.P. 00/00/0000
❑ Permit Voided�, Parcel Id#0900710000
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 und r tand the afore me ioned information.
Signature Date
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AgenUOwner
Address 706 S MAIN STREET OSHKOSH WI 54902 -6084 Telephone Number 235-0106
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.
P O Box1130
� �lG y �f OS!L�OS� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application wWW��►.oshkosh.W,.�s
Project �
Address � � �'��0� ST•
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name �R.�,�n� ��R./�J S Phone ���o� � ! 3 �
Tenant
Address R�S a Q.���p/J Email
Contractor Company Name LUeGI,��-S �l��`L e— �M� • Phone �"3S 'C��0�
Contact Se-�f LveiGl� Email_ 1�1�cI�S I 1(1C l� �,�'f'. ►7�1—
Address �6(o S • ��i(J ST-
State Credential #'s I�9 30 7 , � � (o � ,
Dwelling Contractor Qualifier# Dwelling Contracta•# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Emai l
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � �N,�o� I e a -
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job -�—
$ � � �`�� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is canplete and accu��ate. Any deviations from the above submitred information may requir�e additional permits
ro be obtained. I acknowledge and agree to these terms.
Name: Se-f'F LU�%C.� (Please print) Date: ��� b -�3
Signature: � t�—