HomeMy WebLinkAbout0143676-Building (windows) CITY OF OSHKOSH No 143676
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 717 W LINWOOD AVE Owner ROGER/PAULA J.LEBOUTON Create Date 10/18/2010
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 9 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. No frame changes. * *debit acct
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $5,987.00 Plan Approval $0.00 Permit Fee Paid $60.00 Park Dedication $0.00
Issued By: CC ,2 Date 10/18/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1220560000
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
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
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.
ti66E °N Wd9Z O l O I Ol J!J.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone; (920) 236 -5050
Fax: (920) 236 -5084
Building Permit Application ON THE WA R
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JOB ADDRESS - 1 / L,✓ . L , ' , �"4�k/ � t/�.- 05X AO7t,
OWNER ZO er ✓fa- c • 10,✓
CONTRACTOR
I am the: O Owner OR f Contractor
USE CATEGORY
man Family °Duplex (Multi- Family °Rental ❑Commercial DIndustrial
Work being done:
0 Addition 0 Deck/Porch/Patio 0 Driveway /Parking
ernal Remodeling 0 Fence/Hedge/Kennel 0 Garage/Utility Structure
0 Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail 0 Stove/Fireplace
0 Swimming Pool ❑ Wrecking Permit
❑ Other
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hal may be referenced to note if any additional information is "
v '
• Full description of work being done: i e. ' • - e'. r.. ' - .• .
Fen.
Anv work nQt included in this IpDlicaton is not permitted,
Valve of the job $ g
. . /_ s'7.- (veluo for materbb and labor is rcqulred to mime consistency in accessing permit foes for all
applicants.)
PLEASE READ�,SIGNN�& OATF:
1 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: k o. r•.
(Please print)
Signature:
Date: / 0 — ) S'' /0
3/02
T0011 XY3 6Z:OT OTOZ /9T /OT