HomeMy WebLinkAbout2013-Building (windows) � CITY OF OSHKOSH No 158410
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1337 REED AVE Owner ROBERT J/LORI R FULMER Create Date 10/23/2013
Designer Contractor WINDOW WORLD OF MILWAUKEE
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy 0 Fence � Raze J
Zoning R-2 Class of Const: Size
Unfinished/Basement _ Sq.Ft. Rooms Height Ft. ❑ Projection I
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 �FR/install(5)replacement windows in existing openings
of Work
; debit acct" �
I
,
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,480.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: ,��� Date 10/23l2013 Final/O.P. 00l00/0000
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� Permit Voided�i Parcel Id# 1204840000
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 16;41 FBOM- T-410 P0001/0002 F-751
� P 0 Box 1130
� �'L� 0 OS•��OS� Oshkosh,WT 54403-1130
y ,f Phone:(920)236-5030
�' Nax;(920)236•5084
B��lding Permit Application ���OShkosh.,�.�.
Project �
Addre9s' ._.1,��) L�eC�� aV�- �h ��h �'Y � �`�G/d�
Applicent 4wner Contracto Tenant pther(describe)
Owaer/ Name �`b F�C.�.�'f11 P_f' Phone nl o�0"?�l c�- U 4�o?1 '
Tenant
Address �(.�U�S �`�2. �T� �lS{"1 �C�(�h W( .5'�C�ail .
Contractor Company�Name���(1(�l�n(��(�C� �� M�I1�1(�l�KP P 1 f C Phone 7�2�L�_�-�o�
Contact_�ZZ•�'�. l)l�il�� EI»ail �LJV1��'YI��VL'1'll)1��01'�P.MG�.1�.(
adaress�� N ICS'IC��I ��d.�'Q.C�. (�,�__e�'Mcx n'�'1,t�1� �a22 �
� State Credendal#'s �3ic�1 l� , ��Ic.>l O°j ,
Dwslling Contractor Qualifier# pweUin�Canu'sctor�! Building Con(ractor Registration�! �
Ac6itect/ ��P�y Name � Phone '
Designer � ' :
Contact Bmail �
Address � �
Permit ,Type Residential Single Family Itesidential Duplex Commercia( Multifamily Indushial
Catagory New Addition Alteration �
Project . �
Description '
� 'In ,
Mechaeical 5eparate pem►its will be obtained for the followf�►g:
P�1°'� Electrical by Piumbing b�+ Heating by
Va1ue otJob s �4 tsp•C�
(Value fbr materials&labor is req.to ensute wosistenoy in aoosssing permit t�s for a1t applicants,)
Payment by: Check �t Cash ermit Fee Account� ► ,vU
!cert�ths a6ova iq/'ormalio�r is cornplele and accwwle. A►�y devPa�lons fi'om dre a6ove rubm7�ted i�J'orinalion�wy reqaine addiJrorral pern►!ts
io be oblainad I ac�v,owlea�e artd ograe lo lhese lernat.
Name: Ke�I� � f (�.S (Please prin�) Date: I U�����
. si�nature: �