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� CITY OF OSHKOSH No 158411
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1110 CHRISTIAN DR Owner MICHAEL N/TERA L TOONEN Create Date 10/23/2013 �
Designer Contractor WINDOW WORLD OF MILWAUKEE
3
Inspector John Zarate
Category 040-Windows Plan '
Type � Building � Sign � Canopy 0 Fence � Raze I 4
Zoning R-1 Class of Const:
Size
i
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies -
Garage Sq.Ft. Baths _ Signs �
Foundation � Poured Concrete 0 Floating Slab � Pier 0 Other
� Concrete Block 0 Post � Treated Wood __
Occupancy Permit __ Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/install(5)replacement windows in existing openings — � `
of Work
"'debit acct'*
II
�
- -- —__
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-- - --
HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation $3,395.00 Plan Approval _ $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: � Date 10/23/2013 Final/O.P. 00l00/0000
❑ Permit Voided'� Parcel Id# 1250170700
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 16:41 F�OM- T-410 P0002/0002 F-751 �
�
� P 0 Box 1130 �
� �'��'�/ 0 OS��OS� Oshkosh,WT 54903-1130
J � pbone:(920)Z36-SOSO
� Fax: 920 236•5084 �
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Building Permit App�ication �'�ci.ostikosh.wi.as
Project r . � r v e � h w�i . v l
Address' , � �� (11.�� (� Fj�
ApplicAnt Owner Contractor Tenant Other(descrlbe)
Owner/ Name�� K"P_ ���n�� Phone aC�U�'c���� ���.�
Tenant
aaa�_l l IU (�1Y i���f7C�,� Y� . (�VICUh W I �'Ko�
Contractor Company�Name��f'Vy�(�C� Ot����ti �Q 1 i � Phone�b2-�b:�1-�c �
Contact �ZZi'�, �1f1��� Einail �VJW�'h+�`�iU'1l�I�Q(��,I�.�
Addcess��� l��a`� ��lQr�C;�• C-� J�(°IV'1(1 h '1�1� �7 t3QZZ. '
� State Credential�1's ��ilc�l Lp ,_�1�1�?°I � � �
D►velling Conlractor Quelifiar�! Dwalling Cvqu�aaror# Huilding Coutractor Rsgistration t{ �
I
Achitect/ i `
beeigoer �mpany Name � Phoite .
Contact Email � �
Address � �
Permit Ty�pe Residential Single Faroily Residential Dupiex Commercial Muldfamily Industrial
Cstagory Now Additian Alteration �. •��-
Project '
Description
�� �
Mec6anicai Separate permits will ba obtained for the foliowing: �
Permib Electrical by Plumbing by Heating by
Value of Job $ ���� �� �y��6 for materials&Iabor is req,to ensure aoosjstsoc,y in accessing pemtit fees for all applicaqts,) .
Payment by: Check # Cash ermit Fee Account �� .�
I cerl((y ths obove ir�'onnalron is comp/e!e and accurole. Arry deviallo�s frorn the a6ove submit►ed informarion nray requlne addllfona!pernilfg
la be obla' ed I acknowj e and agree to fhese lerms.
Name: �� �S (Pieese prinQ D3te: �� O�►"
T �
Signature: