HomeMy WebLinkAbout0158304-Building (windows) �
� CITY OF OSHKOSH No 158304 '
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1015 MOUNT VERNON ST Owner FREDERICK L YEO Create Date 10/16/2013
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 0 Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood — ----
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/INSTALL(2)REPLACEMENT WINDOWS IN EXISTING OPENINGS-NO STRUCTURAL CHANGES "debit acct !
of Work
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $733.00 Plan Approval $0.00 Permit Fee Paid $37.00 Park Dedication $0.00
Issued By: gm Date 10/16/2013 Final/O.P. 00/00/0000
❑ Permit Voided ' Parcel Id# 1001690000
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
Agent/Owner
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.
10-16-'13 13;29 FBOM- T-407 P0003/0003 F-748
P O gox I130
� �LL O�OS/G�OS/L � Osbkosh,WI54903-1130
y Phone:(920)236-5030
� Pax:(9Z0)236•5084
Bu�ld�i�g Permit Applic�tion ""`"'�"'.°'"'�5."�.°�
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AQQlicant Ovmer Contracto Tenant Other(describe)
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Tenant -
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Dwelling Contrec0or Qualifler�l Dw�elling Cootractor* �uildmg ContractorRegistration# ; ;
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Achttect/ Compar,y Name � Phone I
Dealgner
Contact Em�il �
� Address �
Permit� Residential Single Family Residcntial Auplex Commercial Multifamily Industrial
Cat�gory New Addition Alteration �. ' ,
project
Description
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Mechanical Separate pet�nits wiil be obtained for the following:
Permits ��ectrical by plumbing by Heating by .
V�lue of Job � � ;�� r�) (�7elue fbr materiels Bc labot is reg.to ensura oonsistency ia eccessiog parmit feus for all appliCauls.)
Payment by: Check �{ Cash Pcrmit Fee Account (��
1 cevl�(y rhs a6ove li�ormwioe!s complrle and accurpfe. Any deviallons from rhe above submined!►�/ormatlon niay reqione addi►lonal permllt
ro bs obtained !ac�biowledge and agree[o lheas rerma.
N8!'rIC� 1���\1. �� I-�J (Pleese print) DBte:_��`��'J� :
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