HomeMy WebLinkAbout0155198 - Building (windwos) CITY OF OSHKOSH No 155198
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1030 W 10TH AVE Owner RUTH WALTER Create Date 04/22/2013
Designer Contractor FFD NATIONAL LLC
Inspector Nicole Krahn
Category 040-Windows Plan
Type • Building 0 Sign _ 0 Canopy 0 Fence 0 Raze
Zoning R-2 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 Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/INSTALL(6)REPLACEMENT WINDOWS(SAME SIZES)-NO STRUCTURAL CHANGES **check#110771
of Work
HVAC Contractor _ _ Plumbing Contractor
Electric Contractor
Fees: Valuation $2,552.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: a0 Date 04/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1305270000
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 (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.
0
/� P 0 Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
w13G ►fit, Building Permit Application www.ci.oshkosh.wi.us
Project 1\—ve ,ddress D 0 i 1/
Applicant Owner Contractor) Tenant Other(describe)
Owner/ Name Pl 4/1 �a.lf- Phone q2O -0131,3) 57
Tenant
Address It) 1) W . Ion �- . D4KD?�n 9Oz-
Email
Contractor Company Name 13T2 /Va.{ 1 Phone q.0- 960-/4L
Contact Ali e, 144 U}Ve,✓ Email . 1f AeTheOn
Address r
14 71�t:6wtbylit .4G ltieta Aa, !,t)1 ��-
State Credential#'s /13/65?-- M76146 ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Com a
Designer per— Phone
Contact Email
Address
—
Permit Type lie is denti ingle-Faniily-Th Residenti. Duplex mercial Multifamily Industrial
Catagory New PO Addition Alteration P ai,011ea
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Project c-4( 0. li S' i t{• rep) ernes W 11414cr .
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job o75
S • (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # J 1 03/i Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to,il obtained. I c notivledge and agree to these terms.
Name: Pk 4 4,; • / 'V agree,
' Fr) (Please print) Date: 19",—,u -/3
Signature: ��� a/ '
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