HomeMy WebLinkAbout0158948-Building (windows) �:
� CITY OF OSHKOSH No 158948 '
� 3
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD `
ON THE WATER
Job Address 2030 MENOMINEE DR Owner ANDREW J/ALLISON H DUMKE Create Date 12/03/2013
Designer Contractor LEACH BROS.
Inspector John Zarate
Category 040-Windows Plan
Type � Building 0 Sign � Canopy � Fence � Raze _
Zoning R-1 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garege _ Sq.Ft. Baths Signs
Foundation � Poured Concrete � 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
UselNature SFR/INSTALL(12)WINDOW REPLACEMENTS(EXISTING OPENINGS)-SAME SIZES-NO STRUCTURAL CHANGES "check
of Work 11707
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I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: �-�(y�� Date 12/03/2013 Final/O.P. 00/00/0000
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❑ Permit Voided i Parcel Id# 1511970000
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 ecure any necessary approvals before starting such activity.
I have read d derstand the afore entioned i formation.
Signature Date� �� �`�
Agent/Owner
Address 2883 RUSCHFIELD DR OSHKOSH WI 54904 - 7404 Telephone Number 235-2225
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.
� � P O Box 1130
l.lLy �f OSIL�OSl� Oshkosh,WI54903-1130
� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application ����.oshkosh.w;.us
Project �l '
Address �V � � �yj� � � � r�
Applicant O�vner ontrac Tenant Other(describe)
Owner/ Name !�vr� �i' Phone
Tenant
Address c�� /����� � I'► �" Email
Contractor Company Name ��j/►�
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State Credential#'s_ , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project z.J ���,- .., S -� �/ o/ l� � �
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Description -
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$!�. OC:C (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # -]b�7 Cash Permit Fee Account
1 certify the above information is complete and accurate. Any deviations from the above subnritted information may require additional permits
e obtained. I acknowledge and agr e to these terms.
Name: I� . '2 C (Please print) Date: � /^� �- � 3
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Signature: