HomeMy WebLinkAbout0125421-Building (windows)
o
OSHKOSH
ON THE WATER
Job Address 40 ROLLING GREEN CIR
CITY OF OSHKOSH No
125421
BUILDING PERMIT - APPLICATION AND RECORD
Owner MARK R/REBECCA G HABECK Create Date
06/20/2007
Designer
Contractor THD AT-HOME SERVICES INC
Category
141 _ Exterior Remodeling Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Finished/Living
Sq. Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
o Projection I
Unfinished/Basement
Bedrooms
Stories
Canopies
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Fee
$0.00 Flood Plain
Height Permit
Occupancy Permit Not Required
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature SFR / INSTALL 4 REPLACEMENT WINDOWS (SAME SIZE & LOCATION), NO STRUCTURAL CHANGES
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $3,558.00 Plan Approval
Issued By: mns-
$0.00 Permit Fee Paid
$46.00 Park Dedication
$0.00
Date 06/20/2007
FinaIlO.P. 00/00/0000
o 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 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.
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, Permit Number, Type of
Inspection (Le. 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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
I
~
OfHKOfH
JUN 2 0 Z007
DEPARTMENT OF
COIV1MUNITY DEVELOPMENT
Roofing & Siding Berm.toAJij)'fI~3'rrION
ON TH~ WAT~R
.. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permjt(s) will result in fees being doubled or $100.00 plus th
normal permit fee, which ever is greater.
OR
lfvou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
i(vou want this processed through your account n .
JOB ADDRESS 40 f2..0 II i rg m rtrn Ci rete ostt k:ffifLJ/VI. &-flOLf
OWNER ~Af.~ Hf-tBGct
CONTRAcTORlt\i)- frr -ttaNF7 SERlJ/ ((5S'
I am the: 0 Owner OR ~ontractor
USE CATEGORY
XI Single Family 0 Duplex
o Multi-Family
o Rental
o Commercial
o Industrial
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
layer(s) on 0 house, 0 garage
This work is being done due to 0 Hail Damage
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 Damage
o Other
When siding is done, one of the boxes below must be checked:
1) 0 Electric - Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND 0 Electric Installation Verification form is attached
OR
o Separate Elect 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
(indud, fui,m"k"p,i" fO'~W~
03/02
06-07-2007 02 :6ISPM FROfHHD AT HOME SERV.
Date: (p 1/107
Brancb Name; <:. 'rlr::;,~O
I ~4UUO,gUgO
l-~"I r.lJw.'I,olY6f "-'-~Il
~\
~
~
Sold Furnished & hl~al1ed by:
l'I-ID At-Home S~rvices, Inc.
d!bflll '!'he Home D=I'ot At. Home Services
g90 Oak Creek Drive, Lombard, IL, 60 l48-6405
Toll Fre<: (871) 606-7694; fax (630) 932-5193
Chicago Lie # 1167087 F~1 IDII 75-2698460
Branch NUJllj)er: .L.fZJ
Job #: $ I ? .,s-.s-~
.;
Installation Address: '9'0
~LLJ'N'
q.e:e#N' U,c
City
t!JS1I~H
tAll
State
s-"I'4f't>J.(
Zip
Home Address:
(If different from installation Addresll) City State Zip
E-mail Address (to rccdve updates lIl'ld promotions from The Home Depot):
f!:2iett Information: lrwefY ou ("Plm'hascr"), the owner,s of the I,lrop~ located at the llbov~ instan~tion ~ddress. o[Iet to
controiL"t with THO At-llome Services, Inc. ("Home Dc;pPI') to furnIsh, del1vcr and an:mge for. Installation of all matert~ls as
described on the anached Spec Shect # ~3'3 '1' ~fp. , ineOtpOTared herem by ref~'n~nce and made a part hereof.
Home Depot re~ervts tbe right to cancel this contract It; upon re-lnspecrion o! ~e job, Holtle Depot determines .that it
cannot perfurm its obligations due to a structural problem with the hOOle, prICmg errors or because work requIred IO
complete tile job was not included in the S()ee S\1eet or Contract.
CONTRACT AMOUNT
$ :sS""se~
tLESS DEPOSn
s.3S~8
9!2
BALANCE DIJ"F.
ON COMPLETION $ ~
1'MinimU1ll. 25% of Coptrac:tAmoun( dpl! upon
exeellU.>lI oftbis eonlract.
Indicate Pay';clIt Method Fo~
BALANCE DUE ON COMPLETION:
(May be sabjcel TO Credit Approval. F"nd VL"Tificaliod
nndl(\l' Credit Card AUlhori7.3.tian)
.Whcn you provide- 11 eh~ek us payment. )'ou l1Ulhurile us either
1(\ use infofmaLion ftot'n )'t"Iur che~k to make a onJ:-nmr;: ~lr.=C'trotlic
lund IrJnsfet frOlll your account 0" In pro...... .he payment.. II
c'hcck trDJhKJcliol"l. Wl1cn we UStJ tnConl'ltnion from your chltCk \0
muke all eleerronic fund lranofer, fllnd>< may bo: witbdraWll l\vm
your ""e"un' "" >000 ao rhe p:>ymunl i. received. Rnd you will nul
rcceiv~ :four c:hc~k back.
DEPOSIT P,4 YMENT OPTIONS
(Subj""llo r",14l vcrit'lculi"n anQ/>;>, ercdi' upprovd.)
J. Check.", QI.,l\iorsCl1eok or US Pm;t.1 Service Money Onler
(Made puy"bl. IQ TI,. Homo nepol).
2. Ct~(UtC1Ud.. .i.lnd/or other PUYlJh;nT "'t\an~ - Cirde ODiO Below
vi:;u MasterCard Di:sCOycr Amt'ricmn F.xflrcss
'fhe 1l01l11l Depot Home lrup,oventcnL Luun ~om. Dtpol (;rcd4 ~
o New i\ocounl D ExilitiDll"efOllGI (HIL & HDCC ON\. V)
AniloblcCredit:S I~~ (HIL8dIDCCONI.VI
(EXJ!.l)ale: __.
Nallle il$;1 ap(lODrs 00 curd: __
..By my/our signnmre belllw, l/We agree to allow Hom~ Depot to
Cb;:Jtl:bCPjC r:fJt7ed credit cord for the de;sil indicated.
~ ___ ~I<M
Cord.holder', SigllaTllte t<--- .
#
Purchaser agree-;; thar, immediately upon completion of the work, purcha~er will execute a Completion eerti fieate .11\d pay any
b..lotnc,: due. Purdlascr al:lO agl'ees to be jointly and severally obligated and liable hereunder.
Entire ,4l!reement: This ag-recm~"IIl and its al:lllChmcnt9, inclllding any Iimmcing lIJ;reemlmt, contain the complete al!r<:etnet\t
b~lWeen the panies and can not bc lIJIlcoded Of modified unless in writing in .. s~paraTe agreement sign.:!! by troth parties.
NOTICE TO PURCHASER
Do nut sign thl.~ eontract before you read It, YOII are entitled IO l\ cODlpletely filled-In copy oUhe contrlld at the time
you sign. Keel) it to protect your rights. Do not sign II Completiun Certificate bef4)re this projed is complete. Law
prohibits home repair I'Ol)tractors from requesting or accept;'1!: a Completion Certificate signed by the owner prior to
the actulll completion of the work to be performed under the COntratt.
\' ou may cancel this t!'lInsaction any time prior to nlidnight of the third business day after the dutll of rbis contraet. See
Notice of Cancelllltiun for an eXplllD:ujon of this right. There will be II service charg" eqllal fO to% of the contract
amount if job is cancened by "urchllser AFTER the tbird bU5iDllSS day, bllt OF-FORE ma<<lrials are ordered. There will
be II service ehar~e equal to 25% of the contract amount if job Is cancelled by Purcbasn AFfER 1I1llterials :Ire Ordered.
SVMY/OUR SIGNATURE BELOW, JlWB UNDERSTAND THAT THE AGREEMENTMAV BE SUBJEC1''rO REVIEW
Of MYIOUR CRlID1T HISTORY AND ltWE AUTHORlZE HOME DEPOT TO VERlfY AND REVlliW MY/OUR
CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL
UAl31LI'fY INCURRED FROM INADVERTENT OMISS10NS OR ERRORS.
I~Y MY/OUR SIGNATURE BELOW, I1WB AGREE TO BE BOUND BY THE TERMS OF TI-IlS CONTRACT. 1/WE
ACKNOWLEDGE RECEIPT OF' A COpy Of nus CQNTRACf AND TWO COMPLETED COPIES OF THE NOTICE
OF CANCEL LA TION.
SUBMITTED BY:
ACCEPTED BY;
~t~
s,' 7'M"
Purchaser
Dale: ~ft/n
Date: ?/t/Irl
DDI":
l'urcho....
NOTlCli;: ADDITIONAL TERMS AND CONDITIONS ARE STATED ON 'fHE REVERSF.: SIDE
AND ARE PART OF 'flUS CONTRACT
4-2-07 C-$C White - Branch f'Ue Yellow - Customer Piok - Sales Consultan\
OS-OT-ZOOT OZ:55PM
FROM-THD AT HOME SERVo
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