HomeMy WebLinkAbout0158231-Building (windows) � CITY OF OSHKOSH No 158231
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 960 S WESTHAVEN DR Owner NHIA LOR/YE CHANG Create Date 10/14/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building 0 Sign _ � Canopy � Fence � Raze � :
Zoning R-1 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 SFR/install(10)replacement windows in existing openings ,
of Work
'debit acct'* ��
, ��
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $6,681.00 Plan Approval $0.00 Permit Fee Paid $79.00 Park Dedication $0.00
Issued By: � Date 10/14/2013 Final/O.P. 00/00/0000
❑ Permit Voided', Parcel Id# 1312090000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W188 N10707 MAPLE RD GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10-14-'13 09,57 FAOM- T-401 P0005/0009 F-721
P O�ox 1130
� Cit o OsG,kosFc � oshkosh,WI 54903-�130
� „� Phone:(920)236-5030
� Fax:(920)236-5084
Bu�lding Pernnit A,ppxication "'R'p'•p�°S�&°$a.`�°a
Projcct �
Address' ��U S • E' �/ � � �'4
Applicant Owner Contracto Tet1ant Other(descri6e)
Owner/ Name�h�r �T�,(.�>> (��� Phone_ �Jr�6 'O��]q' f�
Tep�nt
Address veh �r r��,�,�� .
Coafractor Company�NameW��(1d�S VU�(�C1 Q �tIV1I(1, P l r_ Phone Z�pZ'�l�~�-��
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Contact �ZZ:i�. 1.�,L�tl`{'� , Einail �b�W�1i�l�rl',}11�1(Q.(�'1Q.M[�,11�(
Aaare�s 1n11 , 1�IOIa� +�YY.�d�.'P��. ('-ae�Mc� n��1,W� �30 L2 � ,
� 5tate Credential#'s '�b1 tp , �I�.+l 0°I
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Awelling Contrector Qualitler# Duvelling Canvactor# Buildin�Contractor Registration# ;
i
Acbitect/ �ompany Name � Phone '
Designer
Contact Emai!
Address �
Pei�mit'l�pe Residential Sin�le Family Residential Duples�c Commercial Mulrifamily Industrial
Catagoxy New Addition AlteraCion ���. �'
Project
Deacription
�u - ��n .
Mechae�cal Separate pettnits will be obtained for the followlttg: '
Permits Electrical by Plumbing by Heating by
Value of Job $ �Q �p�I v� �y�ue tnr materials�labor ts raq.to ensure consisf�nc in aocessiag permit fees for all applicaats.) .
Payment by: Check # Cash Pcrmit�ee Account ry(�
I csre�the above rnforn�a�io��s eon�ple�e and accurate. Any devlatio�s fro»�the above sr�6mltted�nfnrmn�ion nruy requira addrrioxalpermils
ro be oblained I acknowledge and agree ro rheae lerms.
IVame: ��-�1 � �I��S (Please print) Date: q���'(�
Signaturc: ��() � _ D Q � r
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