HomeMy WebLinkAbout0158101-Building (window) � CITY OF OSHKOSH No 158101
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1103 GEORGIA ST Owner ANDREW N/JAMIE L SCHNEIDER Create Date 10/04/2013
Designer Contractor FFD NATIONAL LLC
Inspector John Zarate
Category 040-Windows Plan
Type � Building 0 Sign 0 Canopy � Fence � 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 Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ISFR/install(1)replacement window in existing opening —�I
of Work ',
"ck#115722'* '
I -
�
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,034.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: � Date 10/04/2013 Final/O.P. 00/00/0000
� Permit Voided j Parcel Id# 1303080000
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 specifed 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.
POBox11�0
� l...L{-y Of OSII.��S� Oshkosh,WI 54903-1130
� �' Phone:(920)236-5050
Fax:(920)236-5084
1�13('�03��
Building Permit Application ����.oshkosh.W�.�s
Project 1 I�� ' �^,�•
Address � �� �G(, �S�
Applicant Owner �ontractor Tenant Other(describe)
Owner/ � �• a�b'`7��'�
Name Phone
Tenant � � �
Address ��(�3 . OSIlf�O� :J7'7�eZ.Email
Contractor Company Name aL � Phone �' !ltg'��gD
Contact �fi �(,(�y{�I� EmailQ,1'l 1�Q-�� 7f/�t�(o.�0
Address �� ' �i 1 UIUW.�.0 U�(-. �S�IL 1 ��.-
State Credential#'s ��3��J"��- ������6 '
Dwelling Contractor Qualifier# � Dwelling Contractor# Building Contractor Registration#
Ac6itect/ Company Na Phone
Designer
Contact Email .
t Address
�
' Permit Type esidential Single Famil Residential Duplex Commercial Multifamily lndustria(
' Catagory New Addition Alteration �Q�o��
Project :
Description - -
I I �?l�t,m ���Ui1l l�
1 I� I U v� '
0 2013
DEPART�1E\T OF
C0�111UNITY DEVELOPIIFVT
,,,..: .__... t rt(_'ES T){�..i;. ..v
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ I o,3�-`y (Value for materials&labor is req.to ensure consistency in accessing permit tees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cer�ifi-�the above injormation is contplete and accurate. Any deviations from the above subinitted information n:ay req:�ire additional pe�•nrrls
to b btained. 1 ac wledge and agree to these terms. C�
Name: 1� �W Y�-�� 0'� (Please print) Date: � /'`�d'��
Signature: