HomeMy WebLinkAbout2013-Building (windows) � CITY OF OSHKOSH No 157013
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OSHKOSH BUILDING PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 622 W 4TH AVE Owner MARY M WERNER Create Date 08/02/2013
Designer Contractor FFD NATIONAL LLC
Inspector John Zarate
Category 040-Windows Plan :
Type � Building � Sign � Canopy � Fence 0 Raze I
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 � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Piain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/install(6)replacement windows into existing openings I
of Work I
'"ck#113609**
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,635.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: "'���,.� Date 08/02/2013 Final/O.P. 00/00/0000
❑ Permit Voided'i Parcel Id#0603740000
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 Box 1130
City of Oshkosh oSh�osh,��I��90�_��,o
� Phone:(920)236-�0�0
Fax:(920)236-�084
Building Permit Application �'K'•ci.oshkosh.wi.us
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Applicant Owner Contractor Tenant Other(describe)
Owner/ Name��j17�}� 1�/eiN2�L. Phone g2U ��� (��y3
Tenant �Z�`� tk
Address �/�a � 41'� �fQ� Email
Contractor Company Name �� �f�7 ,I Phone �� ��O� �Y'Qv
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Address (��W C 'lJs
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State Credential#'s �L�/Osa- , �Q g(� �(��i ,
Dwelline Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Single Fami Residential Duplex Commercial Multifamily Industrial
Catagory ew Addition Alteration
Project �'�T�4�� �'�'U TD ✓i��l �CP/y1�i� [.���.d[JG�5 1N1])
Description , �—
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�21��EIVED
____ A�IC 012013
C�>i�tU�ITY DE�'ELOPIIE:YT
INSPEC'f�7�S�R\'ICES Dl�'ISIQ'V
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ �.{.�'�� Value for materials&labor is re to ensure consistency in accessi❑
� 9• g permit fees for all applicants.) �
Payment by: Check # Cash Permit Fee Account
1 cerilfy the above injormation is complete and accurate. Any devialions from the above submiued information mqv reyuire additiona!permits
to be obtained 1 ackno edge and agree Io these terms. �
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Name: � �'✓/P� � �.� , (Please print) Date: �
Signature: � � .��