HomeMy WebLinkAbout0158226-Building (14 windows & 1 patio door) � CITY OF OSHKOSH No �ss22s
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 713 N SAWYER ST Owner JEFFERY E NICOLAISON/K L DERR Create Date 10/14/2013
Designer Contractor WINDOW WORLO OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-1 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 � 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(14)replacement windows AND(1)patio door in existing openings
of Work
"debit acct'*
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,121.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: � Date 10/14/2013 Final/O.P. 00/00/0000
� Permit Voided' Parcel Id# 1603600000
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;56 FAOM- T-401 P0003/0009 F-721
� P 0 Box 1130
� ��� O�OSG�OS,� Oshkosh,WI54903•I130
� ��� Phone:(9a0)236-5030
� Fax:(920)236-5084 ,
. . Building Per�nit Application �•�oahkosb.w��
ProJect �
Addreu' �� t' �S�. Uf h I�QS v� I
Applicant Owner Contracto Tenant Other(describe)
Owner/ Name I��P I V (r PT.{�'/J �Gl�/Ct,�fon PhoneQo"�0`a�5• �g��
Tenant
Address '71,`1 N - S�y_r.Y �/'•_OJ'l�l�o�h w i ��/�}v.�mail .
Contractor Company�Name�\�fl��in(��(�C1 Qt'��IV�I(l1�IC�Q l ll_ Phone_ ZID�rIO��T-�c � _
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Contact �,.a2Z•l'�� ��1�� Email �V�tl/Vm��.�%t;111�1(�� (Y_1�. I,L
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Address 1n11�1�,�01�� �C�2�• �P�. _ 1,W� �t3Q 1.2 �
� Sta�e Credentiat#'s �bl�p ,��I�l�°l ,
Dwellag Contrector Qualifier# Dwelling C000ractor# Building Cootractor Re�istration i! �
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Achitect/ �mp�y Name � Phone ! :
Designer �
Contact Email �
Address �
Permit 1`ype Residential Siagle Family Residential bup(ex Commercial Multifamily Industrial �
Catagory New Addition AlteraGon ���-
Project
Descrlp6on
��' �.Il �r1 ,
( i _) Y-�.�!�Cern�er� �'��IV Qr'UQr Ih -C��ffrl,� C i,�,
Mec6anical Separate permits wi[I be obtained for the follovuing:
p��� Electrical by Plumbing by Heating by
Value of dob �w "l � � ' ,Q Q N�ue for matsrisls&labor ia req.to ensure eoavis�ency in socassing permJt Peea for ell applicants.j
payment by: Check # Cash rmit Fee Account ,Q
!c�er!(/'y!he abovs i►aJ'onnalion!s complete mrd accurala. Ai{y devlaUaas from ths o6ove su6rntnad informa�lon mcqr reqedre odd�lTonal per►n!!s
lo bs o6tained !aclviowledge and agree to thare lerins. :
Name: ���( I� ��I ( � (Plesse princ) Date: �)y�jC�
Signaturc: