HomeMy WebLinkAbout0158302-Building (1 door & 18 windows) 3
� CITY OF OSHKOSH No 158302
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1070 W 10TH AVE Owner CORY A HANNEMAN Create Date 10/16/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
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 ISFR/REPLACE(1)ENTRY DOORAND(18)WINDOWS IN EXISTING OPENINGS-NO STRUCTURAL CHANGES *'debit acct
of Work I
�
�— — --- -- -- --- --- ---JI
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,492.00 Plan Approval $0.00 Permit Fee Paid $86.00 Park Dedication $0.00
Issued By: ��m� Date 10/16l2013 Final/O.P. 00/00/0000
❑ Permit Voided � Parcel�d# 1307580000
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.
�
10-16-'13 13;28 F�OM- T-407 P0001/0003 F-748 �
. P 0 Sox 1130
� Cl t D OSh�OS�'C � o8nkosn,wt saso3a i3o
y � Phone:(920)236-5030
� T�ax:(920)236-5084 .
Bui�dang Permit Applicat�on "'"'`v"•°g�'`°c6.�''�
Project • I� Q ( �
Address�
Applicaat Ownes Contracto Tenant pther(describe)
Owner/ Name �'1�!'�1�1 Phone R � " -' f:��P
Tenant —
Address�„�(� w • I(�-�'h G2.�(2 n.J'h ��� �t�iu �t'�=1 C�__ .
Cantractor Company�Name��+Q�(W�C� Q_ ��IV�1Q�,�K�Q 1�,,_.Phone 7_rii�=�(���Y�c �
Contact 7�..�1 '�'in ��tai1G�,1��V11i�Y1��`�i1:111�I�Q� MGU�_(
Addreas � � '1 c�Zd
� 5tate Credential#'s _ �b►lC� _ , � 8 ,
Dwelliog CoeU'actor Qualifier!{ 1)welling Conu'ectot�! Building CootrecWr Registratioo�
!
Achitect/ Company Name � Phone
Deaigner
Contact �''s'� �
Address �
Permit 7�+pe Residendal Single Family Residential Duplex Comme�cial Multifamily Industdal ,
Catagory New Addition Alteration
Pro�ect
Description
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� re�IQ��Pmen� �vs►rlf�h�c i n ��xi�r°�i n�.� n��im.s'
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Mechsnical Separate permits will be obtained for the followiag:
Permits Electrical by Plumbing by Heating by
Value oY d06 $ "'1/��.C�� (Value for materlala&labor is ceq.to ensu[e consJsleataY ia accessiqg permit fa�s for ell applicants.) -
Payment by: Check # Cash rmit Fee Account �(�.Q
)���(j,/i�s n6ove fr�ormafion t8 complete cutd accu►'afe. A►�y davla(io►ta fro��the a6ove submilted i►�nrmbHon ntay regtrire uddl��ond pe�mils
fo be oblafnad I acbw�rle e and agree to these lerm� n
Neme• � �) (Plcssse print) bate•_,�,,��11 '" —
Sisr►atute: