HomeMy WebLinkAbout0158672-Building (windows) � CITY OF OSHKOSH No 158672
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1437 N MAIN ST Owner RONALD K/AMY K HARDY _ _ Create Date 11/07/2013
Designer __ Contractor WINDOW WORLO OF MILWAUKEE
Inspector John Zarate
Category 040-Windows _ Plan
Type � Building � Sign � Canopy � Fence � Raze I
2oning 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 � 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 ,SFR/install(8)replacement windows in existing openings
of Work
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HVAC Contractor __ Plumbing Contractor
Electric Contractor
Fees: Valuation _ $2,627.00 Plan Approval $0.00 Permit Fee Paid _ $51.00 Park Dedication $0.00
Issued By: J�_ Date 11/07/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1500950000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address W188 N10707 MAPLE RD GERMANTOWN WI 53022 - 0000 Telephone Number 920-923-4189
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
11-07-'13 13:09 F�OM- T-430 P0004/0004 F-899 F
. � P 0 Box1130
� Ci of Os�os�t � oS�B�,�54��-,�30
� J Phone:(920)236-5030
� Fax;(920 236-5084
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. Building Pe��nnit Applicat�on �.G.oa6kosb.�.�
Project .
Addre�e" 1�� ���� rn ( � ' �f''�� t�f� �Y J G�GI U�
ApplicAnt Qwner Contracto Tenant Other(describe)
Owner/ Name�j��C�f� Phone q��''c��1�����(�,� .
Ten4nt
Address.�.�:��� N o Y 1fi I�a i n .C�'j-�t'� �a1'� lh �s�h9�-1 D 1
Codtr�ctor �mp�y�Name�t�l_lll�vVf�(�C� �t� M��NIQ1'l,�Q 1�i C_Phone�D�_7Q�-��
Contact'_�ZZI� lXr�,11,'�'�1 Ehtait P�V�I'�LV1'Yli��t;�11�1�Q��MGL1�.(
Address���I���i�� ��„Q�. �� J�M(1 1�l�� ��c3QZ2 �
� State Credential#'s �(cs1 l� ,�Ic,l O°I , '
Dwelling Contractos Queli$er# Dwetling Contr�ctor�V 8uilding Contraclof Registruioa�! ; ,'
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Ac6itect/ � Company Name � Phone
Deelgner '
Contact Emetl � :
Address � �
Permit�►pe Residential Singls Family Residentia!Duplex Commercfal Multifamily Iadustrial
Catngory New Addidon Aloeradan
Pro�ect �
Deacdptioa
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MechAnical Separate permft�will be obtained for the followIng:
Permite Btectrical by Ptumbing by Heating by :
Vslne oP Jo6 S '�(�o� �e U d (Vatue for materials 6t labor ta req,to onsune oondatmcy in eooeasiog permit fees Por ell applicants.) •
Payment by: Cheek # Cash em�it Fee Account � .Cj(J
lcere�jy the abovs/r{Torn�ia�ls complete andaoctrrate. Airydevla!lo�front lJre abnva sr�bmiGedJ�ornia/ion may reqedn add!lionalpern►1te
to 6e o6lalned I acbiow ec�ge and agree fa lheae lertir,v.
Name: � S (Plaese print) Date� (�'�`��
s;�a,�: ►��� Y�Q� � .
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