HomeMy WebLinkAbout0157416-Building (windows) � CITY OF OSHKOSH No 157416
�
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 704 W 19TH AVE Owner ALLEN J VANGYSEL REV LIVING TRUST Create Date 08/26/2013
Designer Contractor FFD NATIONAL LLC
Inspector Nicole Krahn
Category 040-Windows Plan
Type � Building � Sign � Canopy � Fence 0 Raze �
Zoning R-1 Class of Const:
Size
Unfinished/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 0 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(4)SAME SIZE&LOCATIONS REPLACEMENT WINDOWS IN LIVING ROOM-NO STRUCTURAL CHANGES
of Work 'check#114505
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,050.00 Plan Approval $0.00 Permit Fee Paid $51.00 Park Dedication $0.00
Issued By: �� Date 08/26/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1408230000
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.
� � i
� ° i
P�BO`C I 1�0
� � ��lt O �S�'I�OS�'L ' ' � °. , Oshkosh,wi s:+9o�-t i�o
y f Phone:(920)�236-�050
� � ' � ° F"at: (920)236-�08-4
���3��-Zq g Building'Perrnit Application �'N'w.ci.oshl�sh.wi.us
. , . ,
Project IL a
Address ���f w• � 1� �e.•
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name � Phone !�'�3s �.33�
Tenant
Address �• I � � • Email --'
Contractor Company Name�/� /Vl�l7�� Phone %���`�� ��T�(�
Contact ��/ V Email �Q�� /��
Address �G�I�.W l"I�%��� W� q��--� "
State Credential#'s ��3�Q,�a-- , �Q�Q��� ,
Dwelling Contractor Qualifier# D�velline Contractor# Building Contractor Registration#
Achitect/ Comp Name • Phone
Designer '
� Contact � � � Email ' � �
' Address ` °
- Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
' Project � i , '
Description
�2rn� ` Y' ) � , Ws
,
� Vl, Ll� , . . ,
, + � REC�'�.�y-.;.., � . ,
. .
, ,
AUG 2 3 2013
��..
Niechanical Separate permit,s will be obt�ined for the following: Ev.°RTntE�T o� ' '
'�'�8�aYu�rrv eE�•E�o��rr�
Permits ' Electrical by ' Plumbing by. . ` iNSPECT��i��i�'�SDI�'ISIOV ,
' Value of Job ' ' "
$ �i (Value for materials&labor is req.to ensure consistency in accessina permit fees for all applicants.�•
� � Payment by:. Check # ' Cash Permit Fee Account ` �
�certifv tFie above information is complete and accaw�le. .�1ny deviatIons front the above s�bmitted information mw require addi[ior{al permits '
to btained. I wledge and agree to these terms. �
iVame: ' ` ►/ • (Please print) Date: ��./" '�U/� ,
, ' • � � � � . . . `
, , � � , . � , . , . ..
S1aIIltLlie: ' � , • , •' ,
t ' .
. , �� . . * , �
� ' � ° • ,