HomeMy WebLinkAbout0123923-Building (windows)
CITY OF OSHKOSH No
123923
e
OSHKOSH
ON THE WATER
Job Address 40 ROLLING GREEN CIR
BUILDING PERMIT - APPLICATION AND RECORD
Designer
Owner MARK R1REBECCA G HABECK Cr ate Date
Contractor THD AT-HOME SERVICES INC
03/26/2007
Category
141 - Exterior Remodeling PI n
Type
. Building
__0 Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq. Ft.
Height
Ft.
Rooms
Finished/Living
Bedrooms
Stories
Garage
Baths
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units
o
# Structures
Use/Nature SFR /INSTALL 4 REPLACEMENT WINDOWS, NO STRUCTURAL CHANGES (SAME SIZE & LOCATION)
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $4,420.00 Plan Approval
'. ----------'- :-'--~-l-'-'-'
Issued By: ~~
$0.00 Permit Fee Paid
$53.00 Park Ded cation
Date 03/26/2007
Size
D Projection I
Canopies
Signs
o
$0.00
Final/O.P. 00/00/0000
D Permit Voided I Parcelld # 0658160000
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 ork
described in this permit application within an easement, the City strongly urges the permit applicant to contact the ease nt
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
3200 COBB GALLERIA PKWY STE 200 ATLANTA
GA 30339 - 0000
Telephone Number
630-832-4049
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pe it Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is re eived. Work may
continue if the inspection is not performed within two business days from the time the project is rea y.
City of Oshkosh
Inspection Services Division
'. POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Roofing & Siding Permit Application
~
OfHKOfH
ON THE WATER
.. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to fuspection S rvices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennjJ(s) will result in fees being oubled or $100.00 plus th
normal permit fee, which ever is greater.
OR
in the Permit ee Account S stem and have ad
want this processed through vour account n
JOB ADDRESS
_ _C-
OWNER
CONTRACTOR
I am the:
DOwner
OR )(! Contractor
USE CATEGORY
~single Family 0 Duplex
o Multi-Family
o Rental
o Commercial
Work being done:
ROOFING
o Tear off and replace existing roofing on 0 house, 0 garage
o Replace wood decking
o Add 1 layer of roofing to the existing
This work is being done due to 0 Hail Damage
layer(s) on 0 house, 0 garage
o Other
SIDING
o Install siding on 0 house, 0 garage
o Replacing vinyl with vinyl
- 0 Replacing steel or aluminum with vinyl (circle steel or aluminum)
o Replacing with
This work is being done due to 0 Hail OaJl1age
o Other
When siding is done, one of the boxes below must be checked:
o Industrial
(Name of Licensed Electric Conrraclor)
AND 0 Electric Installation Verification form is attached
I) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/m ifications are being perforned
by
OR
o Separate Ele t Permit will be requested.
2) 0 Electric - Not Applicable because: = J Blocks previously installed, 0 No outside lights. 0 Other
o Install new or 0 Replace gutters
o Install new or 0 Replace downspouts
*- Other related work being done: (please note)
L> ~T7f u-c
Value of the Job $
~Lj ;;0
e?O
.-
(include fair market price for labor even if you are not payin for labor)
03/1)2
03-22-2007 01:46PM
(jJ/
t;?
~
FROM-THO AT HOME SERV-
16309635056
T-9Z3 F - U I/UlIi' I"-D~ I
finDctl N Illlll~: C. IJ(c,.f<% l)
Dllte: .zt.L4d"'?
Sold, I'Ut>'l' 11<.:<.! & Tn.taUud by:
niP AI. '1ome Services, Inc,
dlb/ol The Ho~ Dep At.Hlllne Serviee~
890 O..k. C"",k Drive. Lom ard. fL. 60148-6465
Toll Fft\~ ( ~17) 606-7694' :F~", (630) 932-5 II))
Clll\:llga Lie 1167087 f 4eral lOW ~.269S41iO
.tIrhRGill'fumber;
~1'2
JOb 1/; ,;2. '?"t .1 '7'77
/" 'Tnn..ll~I'''R Addnlll':
!i!L.&z11.~..? ....,.,
,'5>..e,( '11'" <-I
Zip
E/~..
Hom6 Addra:s.:
(If di{flllWlt from lnstalll.llioD Address)
Ciry
E-mAil Addn.lI8 (10 receive updates and pmmotioM fro..... Tile Had'''; Do"...l);
frfl!L-c1 iDfnrmlil,lon: l/WeNolJ, ("('"rellastl'''), QIO: U\IIIDi:fS of lhll plOpCfly located ill llIe above Insl.illl
cOll.lt.,cC willi Home: !>cpo! U.S,A.. fne. {"Mome ~.tb to fumiah. deli"l:f DIll! arrenlle fot !he inSl,ne
described on the atllJchcd Spec Sbeet II iIJ ~ . iMOlj\OI':\i.Cd herein by refeteilCC ~
Uome: Ucpet rcl9tnllll th., right to eIIncd this contract if. upDn re-iMJIection of thl! job. Home Dep I dctermin~ <<bat II
elUu.oll.lcrfrulD ib ablill.lil'ioll5 due 10 1lI 5trllctUI"~ problem with tile home, prlcl1'lllllrrors or beca sc wark required to
ellrnplete the job Will not i"eluded In the Spec SlIcel or COlltmct.
CON'tlltAc't AMOUN'r
4!f&>
$ +: ~.,,;(l) -
~
s .4f, "I.;u:;
,
D:tI'osrr T'A1tMENT 0
(SubJect", J\ind vcrJII<IUoa ....va. nc
Chooi:. C.'bi.... Cho<k: or US J'v.1I&1 Sorvic. MG. OM'
(MQdc PI)Illblo \9 The ifD",.. o.rD1).
I.
-LESS DEPOSIT
CRdit c_ IndI", Dtb., PIQ'mC'" op4;." - Cite 'One BOll."
ViUl ~",d
BALANCE DUE.
ON COMPLETION S ~
.Mlnlmum 15% of ClIn.."ct A"IOUlIt due UpOft
~.lleull.llllf "". ""."...eL
Indicate Payment l'.htJilld,Fol'
BALANCE 1)Uf. ON COMPLETION.....:
- ......1\111)' bll.1l1hJl!Ct (0 Credit Approval, Fund
Vllrlncllltkln end/or Credit ClIrd AUlhori~ilo"
Purcb_r Il~C~ Ibal. immlldiu...ly u~ eomplclian of lllc work. Purchtl.ser will Cl\ceulc II Ct.mpletion
balllllCC due. Purcbl.l,cr mllC ~es to be joiiltl1 MId. le"Cf'tllly obligated and liable heteunder.
Endre At!rNl1IlIlIt: Thi~ lIllf"mclll ,mil il!lllt~clllntml$. ilIr:I.u:iing allY financing agreement. coomin ' ~mf'lcte 88"l=01\[
belween tlle parties lInd c;m nUl toe l\mcnd~d or rtlQQific\1 IJ,l)le~s ill w,itins in a $l:j:l.lratc iLllrernll:nt sigMd by bOlh p~1'li~~,
NO'I'ICe -ro l"UACUASER.
Doltot ~ign tbill eonlniet wlute 1011 read it YOII are elull1t4 fll :iI completely flDed-jo copy of tll coaernC$ al \..... ,lnl~
YOll sllln. Kc~p;1 10 prol'.CCl )'Gur rltlalll- Uu not Sil:1J II Comple6l0l't Cerdlletitc h\!fore tills pl'D cl il; complell:. Ll6w
pr~hlblrs IIOIlUl "Cl~alr col'Ill'llt:tllln Ci"OIII reqllllllltialil or &l:Cet>>DD111 Camplctien CLTtiticlItC iigDtd ., tllc owner prillI' to
tbe lll:lUllleompJL'Ilon of tile work 10 b4\ (IIe~OrMed IIl1l1er tM coamet.
Vila may ellnllcl tlllll lrlllluetion 1111)1 time prior to midnight or the tlunl bulitlHI 41'1)' lifter lit. dllr of rhle conl1'act. S~ll
Notice of C:ll\~ellllllon ff)f M esplllnatlon of tlIis "!lilt, There will be Ii arrvitc ChArco !:4jUlll to Ul"to of,tbe ClIlllrllct
am~lIl1n If jlllt I_ canceiled by Purchuer Al'TER. the third busmeJIl doy, but BEFORE mnteriala .. ordetelt. TIler.. will
he .. u.....ic.. char;" "qUAI to 25% 01 the ",,"Dlract amou..df jot> Is ~1I"eUed by Purcbaaor AFTER "t"rillllo ...e tl".r~d.
BV MY/OUR. SIClNATURE BELOW, JlWa AOREE! TO Sf. BOUND BY THE TERMS Of T1U
ACKNOWU;OOE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COP
OF CANCELUTION_
BY MY/OUR. STGNATtJRE .8EJ..OW. lIWE UNDERSTAND THAT THE. AGREEMENT IS SUBJ C,' ''-0 kEvlSW OF
MY/OUR CREDIT HISTORY ANP rfWE AUTHORIZE HOME DErOT TO VEIt1FV AND REVIE MY/OUR. CRl!Drr
.ttSCOltO WITI'I AN INDEPENDeNT CREDIT kfil'Ol<'f'lNO AOE!>lCY Al'lD RELEASE THEM P M ALL LIABILITY
INCUIUlBD L.ROM~INAD TeN~T OMJ 'SIO S 01\ illlJ\OI\$,
, SUBMlTTEDnV;_~
. . I
V ACC8PTF.D flV:
II- Home~"ner
11""'60""6'
NOTICJ::l ADDITIONAL 'n:RMS AND CONtUnOl\l$ h.ll,E l>l'ATf.:D ON TUI& MY
AND ARE PAM',. OF' TNIS CON1'1l^C'1'
10.24-<lG C.$(;
Wrnto - em",,!> FIla '1'0110'" - Owelorn.,. f'lnk - 51'l1..~ eonBllltool
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