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0142020-Building (windows)
CITY OF OSHKOSH No 142020 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1180 CHRISTIAN DR Owner STEPHANIE A STANG Create Date 07/14/2010 Designer Contractor TIL TIN WINDOW COMPANY LLC Category * 141 - Exterior Remodeling Plan Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning 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 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post 0 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. "'debit acct of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $5,700.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00 Issued By: t u/ Date 07/14/2010 Final /O.P. 00 /00 /0000 ❑ Permit Voided I Parcel Id # 1250170200 In the performance of this work I agree to perform all work pursuant to rules goveming 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 1300 S VAN DYKE RD APPLETON WI 54914 - 0000 Telephone Number 920 - 749 -4950 * 141- Exterior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR Asbestos Program website; http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at http: / /dnr.wi.gov /org /aw /wm /publications /anewpub /WA651.pdf To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of 9 � YP 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. 8061 ' °N 1000 :L 0101 til 'lnf w!1 pania°4 City of Oshkosh Inspection Services Division C--) • P0 Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 ^ fH/OJH Fax: (920) 236 -5084 JJ Building Permit = pplication ON TM# WFTFR I au • c a ontr cto •a icirat• • i tit- Permit = • Ac ounnSystem and have adequgte funds. check here i . wa, this •r' -ss tiro. h our •cc,.nt JOB ADDRESS I I r� O C c 5 OWNER S`i'p /1 ✓ �^ CONTRACTOR � t 1 � • � � l.✓'^� J m w cv- I am the: ❑ Owner OR ci entractor U E CATEGORY S ingle Family DDuplex ❑Multi- Family ❑Rental ❑Commercial ©Industrial Work being done: ❑ Addition 0 Deck/Porch/Patio 0 Driveway/Parking ❑ External Remodeling 0 Fence/Hedge/Kennel 0 Garage/Utility Structure C1 Handicap Ramp ❑ Hot Tub /Spa 0 Internal Remodeling ❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace ❑ Swimming Pool ❑ Wrecking Permit 0 Other ki°'C(-m e ., ( - h/ : "JO Additional information, such as plan submittal and approval, may be required before issuance. Fliers, located in the hallway, may be referenced to note if any additional information is necessary. • Full description of work being done: J d s kit %c , ,, 8 Anv work not included in this annlication is not permitted. Value of the job $ QO (Value for materials and labor is required to ensure consistency in accessing permit fees for all applicants.) PLEASE READ & DATE: I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits to be obtained. 1 acknowledge and agree to these terms. Name: L -- �� (Please print) Signature: Date /3 / 3 T00 %V.3 TO:LO OTOZ /1'T /L0