HomeMy WebLinkAbout2013-Building (windows) � CITY OF OSHKOSH No 155755
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3800 PURPLE CREST DR Owner BRIAN D HAESE Create Date 05/22/2013
Designer Contractor FFD NATIONAL LLC
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence � Raze I
Zoning R-2 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths _ Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood _
Occupancy Permit Not Required Occupancy Fee $0.00 Fiood Plain Height Permit Not Required
Park Dedication Not Required #Dweiling Units 0 #Structures 0
Use/Nature SFR/INSTALL(4)SAME SIZE REPLACEMENT WINDOWS-NO STRUCTURAL CHANGES **check#111572
of Work �
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: C>) � 1 /W Date 05/22/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1261430000
In the performance of this work I agree to perform ali 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
AgenUOwner
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.
� - ' P O Box 1130
� Clt O OS�L�OS�L Oshkosh,wl s-►9o�-i i�o
y f Phone:(920)236-�050
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Building Permit Application w'�'�'•ci.oshkosh.wi.us
Project
Address 3800 PURPLE CREST DRIVE :
Applicant Owner Contractor Tenant Other(describe)
owner/ Name BRIAN HAESE Phone 920-410-7733
Tenant
Address 3800 PURPLE CREST DR Erriail
Contractor Company Name FFD NAT'L Phone 920-968-1480
Contact ANGIE HAWVER Email an�@IaI1 o4feldco com
Address 1125 W TUCKAWAY LN. #C MENASHA, WI 54952
state Credential#'s 1131052 , 1080466 ,
Dwelling Contractor Qualifier# D�velling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email .
Address
' Permit Ty e Residential Single Famil Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration — �QG�p��—
� Project INSTALL QUANTITY 4 SAME SIZE REPLACEMENT WINDOWS
Description
RECEIVED
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DEPART�fE�lf OF
C0�111U\iTY DEVELOP!1fENT
iNSDF('Ti(lti CCAVI('FC hl�'iCll1V �
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job � 2500 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Acco}�nt
I certify the above information is contplete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to[hese terms.
Name: A IE H WVER- FFD NAT'L «�ease pr�nt> Date: 5/9/13 , :
SiQnature: