HomeMy WebLinkAbout0155838-Building (windows) � CITY OF OSHKOSH No 155838
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1413 ONTARIO ST Owner MR/MRS RUSSELL SULEWSKI Create Date 05/28/2013
Designer Contractor FFD NATIONAL LLC
Inspector John Zarate
Category 040-Windows Plan
Type � Building � Sign 0 Canopy � Fence � Raze _J
Zoning R-2 Class of Const: Size
Unfnished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
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 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/INSTALL(17)SAME SIDE REPLACEMENT WINDOWS-NO STRUCTURAL CHANGES *"check#111874 '
of Work I
I -- -- - � :
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $9,880.00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: �(,� Date 05/28/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1210720000
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
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 Bos 1 l30 �
� �tty �f �sI L��s G Oshkosh.WI�-t903-1130
� �� Phone:(920)236-�0�0
Fax:(920)236-�03�1
��3� ��� Building Permit Application �'N'•ci.oshkosh.wi.us
Project I�I 2 0���� � '
Address l J
Applicant Owner Contractor Tenant Other(describe)
Owner% Name � ewS�I Phone 9ao�33-3/�
Tenant
Address Email
Contractor Company Name��� ��I Phone �'9��'/��v
Contact �Q„'r� �PiSG� Email I�GI.'f�'IQr1l l.-� �"FeId,CO.LO�'Y�
Address�1 a5 G�.Tu.F,lCa way l,�•r . �G /_l�/�Gt, �� ��oZ-.
State Credential#'s �/3/OJ�� , / ��D`��b
Dwelling Contractor Qualitier# D�velling Contractor# Building Contractor Re¢istration#
Achitect/ mpany Name Phone
Designer
Contact Email
Address
� Permit Type Residential Single Family esidential Duplex Commercial Multifamily Industrial '
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Catagory New Addition Alteration � �G���
Project
Description '
i ��c.�'Y��i �(z� W I r��UJ �aC�.VV►P�-�
REC
MAY 2 S 2013
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C0�4�tU�ITti'DEVE:_JP�tEVT
iVlechanical Separate permits will be obtained for the followinQ:
Permits Electrical by Plumbing by Heating by :
Value of Job � g�. � �Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account.
1 certifv the above information is complete and accurate. Any devialions from the above submltted information mav reqture additional permits :
�o e obtuined. knowledge and agre o these ter s.
N3[71e: jP/ W Yi�f ' �/�J� /Y��/ (Please print) Date: �a3 ��3
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