HomeMy WebLinkAbout0158234-Building (8 windows) � CITY OF OSHKOSH No 158234
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 123 W SOUTH PARK AVE Owner BREFCZYNSKI INVESTMENTS LLC Create Date 10/14/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-2 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 0 Post � Treated Wood _
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dweliing Units 0 #Structures 0
Use/Nature SFR/install(8)replacement windows in existing openings
of Work i i
"debit acct" I
'
,
i I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,670.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
issued By: ��' Date 10/14/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id#0303870000
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 09:58 FBOM- T-401 P0008/0009 F-721
. � P 0 Box 1130 '
� t,.l�y ��l/s���sr� Oshkosh,W154903-1130
� Phone:(920)236-5030
Fax:(920)236-5084
Building Permit Appl�cation "'"'`"'°.°�k°Sa.�'"'
Project � �
Aaa�' � t r �e � / n,
Applicant Owner Contractor Tenant Othcr(descrtbe)
Owaer/ Name 'M � �� ,f�r'�'�P_�Y�S 1�� PhaneQ�U'.��7 Gl " '71 LO
Tenant - -- -
Addressi����5 C'�'�X 11�t' f`o t�� C'I r G�C("l�0�t�il W 1 54�Ci�Y� �
Contractor �mpany�Name�� VVf�f�G, ���►I1,�I(II,�C�P � �,r. Phone �P�OZ 7��"�� _
Contact 1.,1721�� Ulr�,�(l�� . Etnail b�'1/V3'Yl►�l`�C.6'll)I�Q�1�1Q MGl.1 •(
Address�l�l���ll�� �i I�IQ,� l-� �rnm rt�t�'1�1� �30'�2 '
� State Credential#'s �1�1 Ld, , •Q��Ic�l O°+ ,
bwelling Confrector Quslifier# Dvu�s)litt�Cono'actor# 8uilding Contractor R�sgistratioa�1
AcLitect/ Compar►y Name � Phone `
De�igner
Contact �mail �
Address �
Permit T'ype Residential Single Femily Residential Duplex Commercial Multifemily Industrial
Catagory New Addition Atteration �- - '
Project
bescription :
.� �
N�echaaical Separate per�nits witl be obtained for the follow�ng: � '
Permits Electrical by Plumbing by Heating by
Value of Jo6 � ��_�Q� N�ue for materials&lahor is req,to cnswe coasisleocy in sooessing pennit feas for e1l eppliaants.)
Payment by: Check #� Cash ermit Fee Account ��la C�
I cer7lfy Ihe above i►�J'ormalion ls con�plste and accurale. Any dgviollons fran!he above aubmrtted ir+/ormallon may reyuira additional parml�s
lo be oblai�td I ack►rowledgs and agree lo these lerms,
Na.me: � �P l �I �� 1� S tP��p�►c) Date: G��"�,�2 - '
Signatttre: �.Q.Q.�Q� ---