HomeMy WebLinkAbout158225-Building (windows) � CITY OF OSHKOSH No 158225
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1325 OREGON ST Owner HERBERT L POLLNOW Create Date 10/14/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning C-3 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
� Concrete Block 0 Post � Treated Wood -
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/install(2)replacement windows in existing openings �
of Work ',
**debit acct" I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,596.00 Plan Approval $0.00 PermitFee Paid $44.00 Park Dedication $0.00
Issued By: �� Date 10/14/2013 Final/O.P. 00/00/0000
❑ Permit Voided�, Parcel Id#0901700000
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.
10-14-'13 09;55 F�OM- T-401 P0002/0009 F-721
� P 0 Box 1130
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y � Pbone:(920)236-SOSO
� Fex:(920)236-5084 :
Bui�dYng Per�it A.pplic�tion ,�•�.os6kosG.�.�g
Project '
A,ddreea' � -I . Clfll 1�Ocfl ►�/ I ���
Applic,nt Owner Contracto Tenant pther(describa)
Owner/ Name i�P Y 1�("Y� p0(�nC� _ Phone q a1C�' 1!Z`6��a�c�I
Tcnant
Address W � ���1 �
Coatractor Company�Name�I L�Ov�(1/��(1CI 0� ry1�IvJ(�,���Q L!� Phone � -��_�-�� __
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Contact L,.�Z2.d�, ��fl�'� , - ��ai(��!�t ' 1�I�Q� _Mf�.i�.(
Address n11�(�,.�„ ��1����.,�L`� C-�p���� ���1..2 �
� State Credential#°s�,�1�1 l� , ��1�.:1�"1 ,
Dwelling Contractor Quali�er# Dwelliag Coatractor� Huilding Contractor Registrauon�f i :
A���� Company Name ' phone �
Deaigoer
Contact Email � �
Address '
Perroit 1�►pe Residential Single Family Residendal Duplex Commarcial Multifamily Industrial �
Catagory New Addition AlterBtion �- ,�� .
ProJect
Deacriptioa
� e � v.h����s 'n �, n� .
Mecbanical Scparate pecmits wi11 be obtained for the following:
P°'�'� Electrical by Plumbing by Heating by .
Value of Job s '���(��� �yp�ue for m�terial9&lebor is req.to enaure oonsiglency in accassing 't f�es fbr ell applicants)
Payment by, Check # Cash Permit Fce Account�
!csrtj�y!he above lnfnrmaao�is complele and occyrale. A�y devT4do►ts fro»�lha a6ove su6r�tped Informalion nr�ry requlre addfllo►tol pernllls
w be oblolneci 1'acbrowled,ge mtd agrss Io th�rs�erms.
Nerr►e• �� f � 1 , �S (Please print) Date: I�J ��'- ��
SignBture: Q Q.4 !S�_D Q� .