HomeMy WebLinkAbout0152931 - Building (windows) CITY OF OSHKOSH No 152931
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 625 FRANKLIN ST Owner MATTHEW S/MOLLY A JERGER
--- Create Date 10/12/2012
Designer —
Contractor ----
FFD NATIONAL LLC
Inspector John Zarate
Category 040-Windows
— — — Plan
Type • Building ❑ Sign ❑ Canopy ❑ Fence 0 Raze
Zoning R-2PD Class of Const:
Size
Unfinished/Basement Sq. Ft. Rooms
Height Ft. U Projection)
Finished/Living Sq. Ft. Bedrooms
Stories Canopies
Garage Sq.Ft. Baths
Signs
Foundation • Poured Concrete O Floating Slab 0 Pier O Other
O Concrete Block 0 Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain
--- Height Permit Not Required
Dedication Not Required #Dwelling Units 0
#Structures 0
Use/Nature SFR/REPLACE(1)ENTRY DOOR, (2)STORM DOORS AND(1)WINDOW-NO STRUCTURAL CHANGES **check#107216
of Work
HVAC Contractor Plumbing Contractor _
Electric Contractor —
Fees: Valuation $3,556.00 Plan Approval $0.00 Permit Fee Paid
$46.00 Park Dedication $0.00
�J
Issued By: M Date 10/12/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0703030000
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 1125 TUCKAWAY LN STE C MENASHA WI 54952 - 1776 Telephone Number
- — — P (920)968-1480
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.
City of Oshkosh
Inspection Services Division
PO Box 1130 ��/���,��� I
Oshkosh,WI 54903-1130 01 2-t7W[J�ip
Phone:(920)236-5050
Fax:(920)236-5084 Of--KO/H
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed throu.eh your account n
JOB ADDRESS IPa5 rotp016 8f
O
RECEIVED
WNER /44464/
�,V Na OCT 1 1 2012
CONTRACTOR
DEPi?x i NEN ' OF
I am the: D Owner OR ,ta Contractor COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
USE CATEGORY
Ctl.6ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial Dlndustrial
Work being done:
❑Addition ❑Deck/Porch/Patio ❑Driveway/Parking
LT External Remodeling ❑Fence/Hedge/Kennel ❑Garage/Utility Structure
❑Handicap Ramp ❑Hot Tub/Spa ❑Internal Remodeling
❑Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace
❑Swimming Pool ❑Wrecking Permit
❑Other rep e
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: Q+y 1 inij r v y.4a� �--
Q02 02 S4rrn �r laternej17L
ai I ii n4i iA) a eme41±-
Any work not included in this application is not permitted.
Value of the job$ 33510 (Value for materials and labor is required to ensure consistenc in accessin
applicants.) Y g permit fees for all
PLEASE READ,SIGN, &DATE:
I certij)the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name:Aligei V A /
� e print)
Signature: - ,/, __.44/10/ �d
Paz
Date: /0/
3/02