HomeMy WebLinkAbout0158670-Building (window) /�"� CITY OF OSHKOSH No 158670
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 750 BISMARCK AVE _ _ Owner JERAMIAH M/RHONDA F HOUSWORTH _ Create Date 11/07/2013
Designer _ Contractor WINDOW WORLD OF MILWAUKEE __ �
Inspector John Zarate
Category 040-Windows _ _ Plan k
Type � Building � Sign � Canopy � Fence � Raze
�
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 0 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 iSFR/install(1)replacement window in existing opening ----- —
of Work ',
i**debit acct** 'I
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HVAC Contractor _ Plumbing Contractor �
Electric Contractor
Fees: Valuation $1,207.00 Plan Approval $0.00 Permit Fee Paid _ $44.00 Park Dedication $0.00
Issued By: � Date 11/07/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id#0602730000
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.
11-07 '13 13;08 F�OM- T-430 P0002/0004 F-899 -
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� P 0 Box 1130
, � �L�1, o os�kos� ashkosh,W154403-1130
J � Phone:(924)236-5030 ;
� . Fax:(920)236-5084 .
Bui�ding Fermit Applic�tion a'w"'•G.osbkosh.wi.us
Project �
Addreas" �� �'�� ��.�'(�,��k (�,i.v'� ���1 �:L��'� ! � � Cl'�
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Applicaat Owner Contracto Tenant Other(describe) ;
Owoer/ Name_ 1 'Y(11Y1 L Q_,� �)(�USYY bY�-f'h Phone��(�) ^c��.��" r� I g � �
Teuapt
Address����1� �l�l j� �V-F: f]C�'1��(� hl� �J�tda�l�
Contractor Company�Name��+����C� Q� ����(l���Q l lr Phone Z�p��]1���-�o�
Cantact �iZ..Z.I'�! ��f1� � P.�ail ��_ UVi'Yli��',111�1��.Q�.Q.M(1�1 I•.(
Address��l����+( �i 1�►�.� C��h('Q�l�'1���� �r�2�� �
' 5tate Ctedentia!#'s �b1 lG , �'�ut�l�°1
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Dwelling Contractor QualiCur# Dwelling Caatractor� 13uilding Conlractor Rogishadon!1
Achitect/ ���y��e � Phone �
besigner
Contact Email `
Address � •
Permit 1`ype Restdential Single Family Residential buplex Commercial Muldfamily Industrial
Catagory New Addidon Alteration m��-
Project
Description �
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Mec6aaical Separate parmits will be obtained for the following:
P��� �lectrical by Plwnbing by Heating by
'Velue Of Job $ i�v� .�� �/�ue for materials&labor is re .to ensurrts oonsisteacy in acoessi
, m � 4 � ng parmit frxs Por ell 8pplicents.)
Payment by: Check # Cash P�rmit Fee Account ��.1.�. , �
I cuY(fy Iha above i►;farmalion!s eon�plste m�d accurole. A�y davlalionsJrom ths above submlded tnforma►�on niay require addilionol pennlu
�0 6e obloined I aabtowladge and agne to these lermx
Name:_ �"'C'.�1� 1 0 )1��J (Please princ) Date: ��"�'I.�
Signeture:,.,,��1 ,�Q,QI,���� � .